Maddison Renae Wycoff
Behavior Technician in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1982197695
StatusActive
Last updated in NPPESJun 8, 2018
Details
- NPI
- 1982197695
- Entity type
- Individual (NPI-1)
- Name
- Maddison Renae Wycoff
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2018
- Last updated
- Jun 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
27 Green Glen DrPittsburgh, PA 15227-4115
Phone 412-445-4573
Mailing address
27 Green Glen DrPittsburgh, PA 15227-4115
Phone 412-445-4573
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