Individual
MADELINE ELAINE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
375 SE BROAD ST STE A&B, SOUTHERN PINES, NC 28387-6057
(980) 360-8989
(954) 342-6481
Mailing address
375 SE BROAD ST STE A&B, SOUTHERN PINES, NC 28387-6057
(980) 360-8989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2617
MA
103K00000X
Behavior Analyst
Primary
4471
NC
103K00000X
Behavior Analyst
Primary
—
NC
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/11/2015
Last updated
06/12/2026
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