Individual
MEGAN MARIE PUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Mailing address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
79-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79-140
STATE OF WI
WI
Enumeration date
02/06/2014
Last updated
02/07/2014
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