MEDICARE: MADISON CHRISTIAAN DRAPER

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
1	106S00000X	Behavior Technician		OH

General Provider Information

NPI Number	:	1245100759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON CHRISTIAAN DRAPER

Provider Business Mailing Address
First Line	:	3235 CROSSING HILL WAY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-7347
Country	:	US
Telephone Number	:	614-377-2026
Fax Number	:

Provider Business Practice Location Address
First Line	:	4664 LARWELL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3621
Country	:	US
Telephone Number	:	614-377-2026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	12/30/2025

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