Individual
MADELEINE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 104TH ST, URBANDALE, IA 50322-3813
(515) 630-0274
Mailing address
2844 104TH ST, URBANDALE, IA 50322-3813
(515) 630-0274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230997
IA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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