Individual
MRS. MADALYN M WARREN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
320 KULALANI DR, KULA, HI 96790-8227
(808) 280-3311
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43116
TX
103K00000X
Behavior Analyst
Primary
BA-732
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006307
—
HI
Enumeration date
05/20/2021
Last updated
07/19/2023
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