Individual
MADELYN WECKWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 CLEBURNE PARK RD, HEBER SPRINGS, AR 72543-9106
(501) 253-0467
Mailing address
74 CLEBURNE PARK RD, HEBER SPRINGS, AR 72543-9106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336627795
—
AR
Enumeration date
02/06/2025
Last updated
05/06/2025
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