NPI 1295328409

Madison Prescott, RBT

Practitioner Behavior Technician Jackson, WY

Practice location

Address: 310 E Broadway Ave, Jackson, WY 83001-8636
Phone: (307) 257-5487
Mailing address: PO Box 11231, Jackson, WY 83002-1231

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 21-154743 (WY)

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1295328409
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2021
Record last updated: 13 Apr 2021

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.