Individual
MADELINE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
(405) 389-4530
Mailing address
14521 TRAVERTINE FALLS LN, OKLAHOMA CITY, OK 73142-8519
(817) 891-2218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/24/2020
Last updated
11/12/2024
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