Provider Demographics
NPI:1689119166
Name:DYKES, MADISON ELAINE (MS, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:ELAINE
Last Name:DYKES
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:MS
Other - First Name:MADISON
Other - Middle Name:ELAINE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA, LBA
Mailing Address - Street 1:1820 HIDDEN PINE LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3947
Mailing Address - Country:US
Mailing Address - Phone:321-277-0800
Mailing Address - Fax:
Practice Address - Street 1:1820 HIDDEN PINE LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3947
Practice Address - Country:US
Practice Address - Phone:321-277-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst