Most Relevant Information
Provider Data
| NPI Number: | 1003487430 |
| Provider Name: | MADISON CHRISTINE AUSMUS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2021 |
| Last Updated: | 07/07/2021 |
Provider Practice Location
1720 S AMPHLETT BLVD STE 110
SAN MATEO
CA
944022710
Practice Location Phone/Fax
| Phone: | 6509316300 |
| Fax: |
Provider Mailing Location
1720 S AMPHLETT BLVD STE 110
SAN MATEO
CA
944022710
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |