NPI 1003458456

Madison Guard

Practitioner Behavior Technician Tucson, AZ

Practice location

Address: 5215 N Sabino Canyon Rd, Tucson, AZ 85750-6435
Phone: (866) 727-8274

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003458456
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2019
Record last updated: 16 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.