Individual
JEANA LEE ANNE MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 415-2579
Mailing address
937 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 415-2759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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