Individual
MADISON BARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 WINSTON DR STE 229, ROCK SPRINGS, WY 82901-5775
(307) 212-3284
Mailing address
PO BOX 20310 UNIT 55984, CHEYENNE, WY 82003-7007
(307) 371-5559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229782
WY
Other
Enumeration date
08/15/2022
Last updated
06/06/2024
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