Individual
MADELINE ANN FUDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
37 JOHNSON FERRY RD STE 100, MARIETTA, GA 30068-4906
(678) 619-0229
Mailing address
7177 SURREY PT, ALPHARETTA, GA 30009-3277
(678) 314-4920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11934426
GA
Other
Enumeration date
03/26/2019
Last updated
07/28/2023
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