Madison Stafford
Behavior Technician in Springfield, VA. Individual provider (NPI-1).
NPI number1295550697
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1295550697
- Entity type
- Individual (NPI-1)
- Name
- Madison Stafford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2024
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7001b Loisdale RdSpringfield, VA 22150-1904
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Phone 866-727-8274
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