Individual
MADISON WHEELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1720 W ELFINDALE ST, SPRINGFIELD, MO 65807-1289
(417) 494-3274
Mailing address
1720 W ELFINDALE ST, SPRINGFIELD, MO 65807-1289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025044401
MO
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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