MISS Madalyn Elyse Sprague

NPI #1982134771 in Las Cruces, New Mexico

Provider Information

NPI Number: 1982134771
Entity Type: Individual
Name: MISS Madalyn Elyse Sprague
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 14, 2017
Last Updated: Jun 14, 2017

Practice Location

Address: 1007 ELLENDALE DR
City: Las Cruces
State: New Mexico
ZIP Code: 88005
Phone: (575) 621-5771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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