Individual
MRS. MADELENE BANGALAN MARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
908 N REYNOLDS RD, BRYANT, AR 72022-3034
(501) 847-9711
(501) 847-6929
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66077
AR
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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