Chantal Madsen

NPI #1972009132 in Midvale, Utah

Provider Information

NPI Number: 1972009132
Entity Type: Individual
Name: Chantal Madsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 4, 2018
Last Updated: Apr 4, 2018

Practice Location

Address: 6856 S 700 E
City: Midvale
State: Utah
ZIP Code: 84047-5753
Phone: (801) 743-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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