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Madison Elizabeth Whittington

Behavior Technician in Kennett, MO. Individual provider (NPI-1).

NPI number1104518232
StatusActive
Last updated in NPPESMay 25, 2023

Details

NPI
1104518232
Entity type
Individual (NPI-1)
Name
Madison Elizabeth Whittington
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2023
Certification date
May 25, 2023
Last updated
May 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

875 State Route Vv
Kennett, MO 63857-9108

Phone 573-888-0642

Mailing address

875 State Route Vv
Kennett, MO 63857-9108

Phone 573-888-0642

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