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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON MARYROSE BREWER

Active Sole Proprietor

MADISON MARYROSE BREWER is a Behavior Technician healthcare provider located in VANCEBURG, Kentucky. NPI 1255086021 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · VANCEBURG, KY

Registration Details

NPI Number
1255086021
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2022 (4.5164695003507 yrs)
Last Updated
Feb 19, 2022
License
RBT-21-191059 (OH)
Sole Proprietor
Yes

Practice Information

Address
1008 FAIRLANE DR
VANCEBURG, KY, 411795403
Browse KY providers · Browse ZIP 41179
Phone
7407271120
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.