Organization · Type 2 NPI
Enoc Madero
Developmental Therapist · Raleigh, NC
Practice location
6036 Brambleberry Way
Raleigh, NC 27616-6618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1659767168
Enoc Madero's National Provider Identifier is 1659767168, issued on Apr 10, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Raleigh, NC. The record was last updated on Apr 10, 2015.