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

Madison Lynn Gerdom

Individual provider Behavior Technician · NPI 1770173155

Madison Lynn Gerdom is a Behavior Technician in Broken Arrow, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

308 N Aspen Ave
Broken Arrow, OK 74012-2205
Phone: (539) 777-0940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1770173155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

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