Mrs Madalyn Clontz, is a
Behavior Technician based in Stanfield, North Carolina. Mrs Madalyn Clontz is licensed to practice in * (Not Available) (license number ) and her current practice location is
7778 Bertha Ln, Stanfield, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 776-0385.
NPI number for Mrs Madalyn Clontz is 1164003174 and her current mailing address is 7778 Bertha Ln, Stanfield, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164003174.
Healthcare Provider's Profile
Full Name | Mrs Madalyn Clontz |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 7778 Bertha Ln, Stanfield, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164003174
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 04/20/2021
Medical Identifiers
Medical identifiers for Mrs Madalyn Clontz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164003174 | NPI | - | NPPES |
0 | Other | | 0 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | 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. Mrs Madalyn Clontz 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 |
Mrs Madalyn Clontz, 7778 Bertha Ln, Stanfield, NC 28163-9605 Ph: (704) 776-0385 | Mrs Madalyn Clontz, 7778 Bertha Ln, Stanfield, NC 28163-9605 Ph: (704) 776-0385 |
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