Most Relevant Information
Provider Data
| NPI Number: | 1003448093 |
| Provider Name: | MADISON TODD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/07/2020 |
| Last Updated: | 02/07/2020 |
Provider Practice Location
340 COMMERCE AVE STE 6
SOUTHERN PINES
NC
283877115
Practice Location Phone/Fax
| Phone: | 9106883646 |
| Fax: |
Provider Mailing Location
340 COMMERCE AVE STE 6
SOUTHERN PINES
NC
283877115
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |