Individual
MADISYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 CHAPEL RIDGE RD STE 200, APEX, NC 27502-8628
(980) 785-1113
(980) 785-1114
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81626
NC
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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