Individual
MRS. MADISON WRAY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3550 PARKWOOD BLVD, FRISCO, TX 75034-1903
(469) 277-6050
Mailing address
7807 LOVERS LN, DALLAS, TX 75225-8206
(214) 762-7504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52731
TX
Other
Enumeration date
08/24/2021
Last updated
02/09/2023
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