Individual
MADELYN G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
(616) 970-4147
Mailing address
201 ROYAL PARK DR, ZEELAND, MI 49464-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
7401003059
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2023
Last updated
10/06/2025
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