Madison Nash
Individual provider Active NPI Behavior Technician · Bloomingdale, GA
NPI 1073329645 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1073329645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 180 John Carter Rd
Bloomingdale, GA 31302-8053 - Phone
- (904) 548-7425
- NPI assigned
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
180 John Carter Rd
Bloomingdale, GA 31302-8053
Mailing address
180 John Carter Rd
Bloomingdale, GA 31302-8053
Other providers in Bloomingdale, GA
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- Lakeside Csu
- Lakeside Pain Center, P.C.
- Life Works Counseling
- Natasha Danielle Moore
- Dinu Patel
- Elizabeth Ashley Pinkerton
- Carliss Posey
- Estella Reynolds
- Matthew Sartin
All providers in Bloomingdale, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.