Individual
MADISON CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 541-9080
Mailing address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB303627
NC
Other
Enumeration date
03/10/2019
Last updated
07/07/2025
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