Most Relevant Information
Provider Data
| NPI Number: | 1003645615 |
| Provider Name: | MADISON WEETS-SANZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/31/2024 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
35 SE ELY ST
OAK HARBOR
WA
982773747
Practice Location Phone/Fax
| Phone: | 3606321255 |
| Fax: |
Provider Mailing Location
35 SE ELY ST
OAK HARBOR
WA
982773747
Provider Mailing Phone/Fax
| Phone: | 3606321255 |
| Fax: |