Individual
MADILYN MONCRIEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 TOWNE CENTER BLVD, RIDGELAND, MS 39157-4868
(769) 225-0045
Mailing address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
241019
MS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/09/2023
Last updated
07/29/2024
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