Individual
JACQUELINE JOANNE MADELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT
Contact information
Practice address
7770 E WRIGHTSTOWN RD, TUCSON, AZ 85715-4330
(888) 975-4557
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81243
IN
106S00000X
Behavior Technician
RBT-19-100316
AZ
Other
Enumeration date
09/29/2020
Last updated
06/07/2025
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