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MADISON MARY ABBOTT BA

Individual Provider (NPI-1) Active

Behavior Technician

Provider Information

NPI Number
1114730389
Provider Type
Individual Provider (NPI-1)
Credentials
BA
Status
Active

Contact & Location

Address
1020 BUDDY HOLLY PLACE, CLEAR LAKE, IA, 504283735
Phone
(952) 767-4200
Fax
(952) 767-4211

Specialties & Taxonomies

Behavior Technician Primary

All Addresses

MAILING

5860 BAKER RD

MINNETONKA, MN, 553455903

(952) 767-4200

LOCATION

1020 BUDDY HOLLY PLACE

CLEAR LAKE, IA, 504283735

(952) 767-4200