Most Relevant Information
Provider Data
| NPI Number: | 1003642430 |
| Provider Name: | MADISON BAILEY ROBERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-342117 |
Most Important Dates
| Enumeration Date: | 09/11/2024 |
| Last Updated: | 09/11/2024 |
Provider Practice Location
215 E JANISCH RD
HOUSTON
TX
770222407
Practice Location Phone/Fax
| Phone: | 8327408497 |
| Fax: |
Provider Mailing Location
215 E JANISCH RD
HOUSTON
TX
770222407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |