Most Relevant Information
Provider Data
| NPI Number: | 1003498379 |
| Provider Name: | MADELINE EVANS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2021 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
6033 FASHION POINT DR
SOUTH OGDEN
UT
844034847
Practice Location Phone/Fax
| Phone: | 6052712690 |
| Fax: |
Provider Mailing Location
6033 FASHION POINT DR
SOUTH OGDEN
UT
844034847
Provider Mailing Phone/Fax
| Phone: | 6052712690 |
| Fax: |