Healthcare Provider Details

I. General information

NPI: 1558296830
Provider Name (Legal Business Name): MADISON LAFLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 N 15TH ST
BEATRICE NE
68310-2454
US

IV. Provider business mailing address

1004 N 15TH ST
BEATRICE NE
68310-2454
US

V. Phone/Fax

Practice location:
  • Phone: 402-230-8387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: