Haddock, Madison

Haddock, Madison is an sole proprietor health care provider with primary practice located at 12637 S 265 W Ste 300 , Draper UT 84020-5403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Haddock, Madison can be contacted via phone (801) 998-8428.

Contact Information

Primary practice address
12637 S 265 W Ste 300 Draper UT 84020-5403
Phone: (801) 998-8428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 128621782506 Utah

Profile Details

NPI number 1215576459
LBN Legal business name Haddock, Madison
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2020
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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