Most Relevant Information
Provider Data
| NPI Number: | 1003595539 |
| Provider Name: | MADELINE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2023 |
| Last Updated: | 07/12/2023 |
Provider Practice Location
5422 W THUNDERBIRD RD STE 2
GLENDALE
AZ
853064717
Practice Location Phone/Fax
| Phone: | 6153760034 |
| Fax: |
Provider Mailing Location
5422 W THUNDERBIRD RD STE 2
GLENDALE
AZ
853064717
Provider Mailing Phone/Fax
| Phone: | 6153760034 |
| Fax: |