Madolyn P Hodges, RBT
Behavior Technician in Bloomington, IN. Individual provider (NPI-1).
NPI number1164087714
StatusActive
Last updated in NPPESMay 8, 2019
Details
- NPI
- 1164087714
- Entity type
- Individual (NPI-1)
- Name
- Madolyn P Hodges
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2019
- Last updated
- May 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3101 N Canterbury CtBloomington, IN 47404-1500
Phone 812-350-3032 · Fax 317-663-1175
Mailing address
12650 Hamilton Crossing BlvdCarmel, IN 46032-5400
Phone 317-249-2242 · Fax 317-663-1175
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