Madison Proctor, is a
Behavior Analyst based in Grand Rapids, Michigan. Madison Proctor is licensed to practice in Michigan (license number ) and her current practice location is
120 Stevens St Sw, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 469-3870.
NPI number for Madison Proctor is 1992351993 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992351993.
Healthcare Provider's Profile
Full Name | Madison Proctor |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 120 Stevens St Sw, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992351993
- Provider Enumeration Date: 08/15/2019
- Last Update Date: 06/27/2024
Medical Identifiers
Medical identifiers for Madison Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992351993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Michigan) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madison Proctor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Madison Proctor, 7108 S Kanner Hwy, Stuart, FL 34997-7462 Ph: (586) 995-6658 | Madison Proctor, 120 Stevens St Sw, Grand Rapids, MI 49507-1526 Ph: (616) 469-3870 |
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