Madison Illidge

Behavior Technician · Alpha, NJ

Individual Active NPI

NPI number 1073312831

Practice location

140 3rd Ave
Alpha, NJ 08865-4306
Phone
(908) 940-1382

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NPI record

NPI
1073312831
Entity type
Individual (Type 1)
Enumeration date
March 12, 2025
Last updated
March 12, 2025
Certified
March 12, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

3403 Glen Ave
Easton, PA 18045-5929
Phone
(347) 820-0103

About Madison Illidge

Madison Illidge is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 140 3rd Ave, Alpha, NJ 08865-4306. The NPI number 1073312831 was assigned on March 12, 2025 and the record was last updated on March 12, 2025.

Frequently asked questions

What is the NPI number of Madison Illidge?

The NPI number is 1073312831.

What is the phone number of Madison Illidge?

The phone number listed for the practice location is (908) 940-1382.

Where is Madison Illidge located?

140 3rd Ave, Alpha, NJ 08865-4306.

What is the taxonomy code for Madison Illidge?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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