Individual provider · NPI-1
Madison Leigh Allen
Day Training/Habilitation Specialist · Little Rock, AR
NPI number1659078103
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1659078103
- Entity type
- Individual (NPI-1)
- Name
- Madison Leigh Allen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2023
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | AR | Yes |
Practice location
1900 Aldersgate RdLittle Rock, AR 72205-6620
Phone 501-821-5459
Mailing address
1900 Aldersgate RdLittle Rock, AR 72205-6620
Phone 501-821-5459
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