Marcellus Maddox
Behavior Technician · Portage, IN
NPI number
1114833506
Practice location
3125 Willowcreek RdPortage, IN 46368-4423
- Phone
- (574) 387-4313
NPI record
- NPI
- 1114833506
- Entity type
- Individual (Type 1)
- Enumeration date
- August 24, 2026
- Last updated
- August 24, 2026
- Certified
- August 24, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
1827 E Ireland RdSouth Bend, IN 46614-2845
About Marcellus Maddox
Marcellus Maddox is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3125 Willowcreek Rd, Portage, IN 46368-4423. The NPI number 1114833506 was assigned on August 24, 2026 and the record was last updated on August 24, 2026.
Frequently asked questions
What is the NPI number of Marcellus Maddox?
The NPI number is 1114833506.
What is the phone number of Marcellus Maddox?
The phone number listed for the practice location is (574) 387-4313.
Where is Marcellus Maddox located?
3125 Willowcreek Rd, Portage, IN 46368-4423.
What is the taxonomy code for Marcellus Maddox?
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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