Most Relevant Information
Provider Data
| NPI Number: | 1003598251 |
| Provider Name: | MADELYN MERCADO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
13346 CANOPY GROVE DR APT 305
TAMPA
FL
336254033
Practice Location Phone/Fax
| Phone: | 8502210700 |
| Fax: |
Provider Mailing Location
13346 CANOPY GROVE DR APT 305
TAMPA
FL
336254033
Provider Mailing Phone/Fax
| Phone: | 8502210700 |
| Fax: |