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NPI Code Detail

MEDICARE: MAUREEN IMA MADUAKO

MEDICARE: MAUREEN IMA MADUAKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1205649860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN IMA MADUAKO
Provider Business Mailing Address
First Line : 1007 S MASON RD APT 308
Second Line :
City : KATY
State : TX
Zip : 77450-3844
Country : US
Telephone Number : 346-610-4888
Fax Number :
Provider Business Practice Location Address
First Line : 3327 MADISON ELM ST
Second Line :
City : KATY
State : TX
Zip : 77493-4411
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ MAUREEN IMA MADUAKO ” Practice Location

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