Individual provider · NPI-1

Madison Baxter

Behavior Analyst · Crestview, FL

NPI number1689586679
StatusActive
Last updated in NPPESSep 22, 2026

Details

NPI
1689586679
Entity type
Individual (NPI-1)
Name
Madison Baxter
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2026
Certification date
Sep 22, 2026
Last updated
Sep 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

296 S Ferdon Blvd
Crestview, FL 32536-3720

Phone 757-932-5922

Mailing address

296 S Ferdon Blvd
Crestview, FL 32536-3720

Phone 757-932-5922

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