Madelynn Jane Hugunin
Behavior Technician in Channahon, IL. Individual provider (NPI-1).
NPI number1831815455
StatusActive
Last updated in NPPESOct 14, 2022
Details
- NPI
- 1831815455
- Entity type
- Individual (NPI-1)
- Name
- Madelynn Jane Hugunin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2022
- Certification date
- Oct 14, 2022
- Last updated
- Oct 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
25227 W Meadowlark DrChannahon, IL 60410-3309
Phone 708-870-7217
Mailing address
25227 W Meadowlark DrChannahon, IL 60410-3309
Phone 708-870-7217
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