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Individual

MARTHA CHAFEE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1880 S UNION AVE, OZARK, AL 36360-2898
(334) 443-1043
Mailing address
159 N HARRIS DR, FORT RUCKER, AL 36362-2345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34028
106S00000X
Behavior Technician
RBT-16-19283
ME

Other

Enumeration date
01/02/2018
Last updated
08/25/2022
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