Carissa Madderom
Carissa Madderom is a Behavior Technician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
8103 S Congress Ave Apt 1143Austin, TX 78745
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (TX) |
|---|
Record details
| NPI number | 1073395018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 16, 2023 |
| Last updated in NPPES | October 16, 2023 |
| Certification date | October 5, 2023 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 |
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