Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Fry

Individual provider Behavior Technician · NPI 1336786375

Madison Fry is a Behavior Technician in Garden Grove, California. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Phone: (949) 833-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41521 W 11 Mile Rd, Novi, MI 48375-1803 — (248) 436-4400

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1336786375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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