MEDICARE: MADISON HILL

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	103K00000X	Behavior Analyst	RBT-23-261946	IN

General Provider Information

NPI Number	:	1437920626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON HILL

Provider Business Mailing Address
First Line	:	2785 CASON ST # 2
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47904-2843
Country	:	US
Telephone Number	:	765-446-4185
Fax Number	:	765-448-1864

Provider Business Practice Location Address
First Line	:	1777 W STONES CROSSING RD STE 120
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-7899
Country	:	US
Telephone Number	:	317-960-4047
Fax Number	:	765-448-1864

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

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	01/23/2026

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Directions to “ MADISON HILL ” Practice Location

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