Individual provider · NPI-1

Madison Ashlee Bowling

Behavior Technician · Palos Heights, IL

NPI number1316630072
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1316630072
Entity type
Individual (NPI-1)
Name
Madison Ashlee Bowling
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2023
Certification date
May 30, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–ILYes

Practice location

11755 Southwest Hwy
Palos Heights, IL 60463-1015

Phone 708-586-4239

Mailing address

5274 W 90th St
Oak Lawn, IL 60453-1312

Phone 269-779-5122

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