MADELINE SOUTHALL

Behavior Technician

Active Individual
NPI: 1598335234

Practice Address

2033 GATEWAY PL FL 5
San Jose, CA 95110

Phone: (855) 581-0100

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1598335234 is the National Provider Identifier for MADELINE SOUTHALL, a Behavior Technician provider located in San Jose, CA. This NPI was enumerated on June 25, 2021.
MADELINE SOUTHALL practices at 2033 GATEWAY PL FL 5, San Jose, CA 95110.

Quick Facts

NPI
1598335234
Type
Individual
Enumerated
Jun 25, 2021
Last Updated
Jun 25, 2021

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