Madison M Clodfelter
Individual provider Active NPI Behavior Technician · Longs, SC
NPI 1548073984 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1548073984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 80 Rolling River Rd
Longs, SC 29568-9498 - Phone
- (704) 550-8004
- NPI assigned
- Jan 29, 2025
- 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
80 Rolling River Rd
Longs, SC 29568-9498
Mailing address
80 Rolling River Rd
Longs, SC 29568-9498
Phone (704) 550-8004
Other providers in Longs, SC
- Deborah Bowser
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- Carolina Medical Supplies LLC
- Changing Insight II, LLC
- Phillip Douglas Clark Sr.
- Coastal Calm Counseling LLC
- Compassionate Counseling, LLC
- Clara Camille Dash
- Tamellia Dickerson
- Danielle Drag
All providers in Longs, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. 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.