Most Relevant Information
Provider Data
| NPI Number: | 1003595505 |
| Provider Name: | MADELYN LIEBMAN RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2023 |
| Last Updated: | 07/13/2023 |
Provider Practice Location
6705 WHITE HORSE RD
GREENVILLE
SC
296112503
Practice Location Phone/Fax
| Phone: | 7046548599 |
| Fax: | 9809386088 |
Provider Mailing Location
6705 WHITE HORSE RD
GREENVILLE
SC
296112503
Provider Mailing Phone/Fax
| Phone: | 7046548599 |
| Fax: | 9809386088 |