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Madison Gross

Behavior Technician in Baytown, TX. Individual provider (NPI-1).

NPI number1710716865
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1710716865
Entity type
Individual (NPI-1)
Name
Madison Gross
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

855 Rollingbrook Dr
Baytown, TX 77521-4073

Phone 281-839-2789

Mailing address

855 Rollingbrook Dr
Baytown, TX 77521-4073

Phone 281-839-2789

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