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General NPI Number Information
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NPI Number | 1669948873
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Entity Type | Individual
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Provider Name | MICAELA MADDEN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2928 JEFFERSON ST STE 100
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City | CARLSBAD
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State | CA
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Zip | 92008-2374
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Country | US
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Telephone | 855-223-7123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740780
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City | ATLANTA
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State | GA
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Zip | 30374-0780
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Country | US
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Telephone | 855-223-7123
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Fax | 619-374-7134
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-53273
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 9292
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License Number State | TX
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