Individual
MADISON AVERY FREMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
610 W PINHOOK RD, LAFAYETTE, LA 70503-2314
(318) 597-5112
Mailing address
114 E CAPPEL ST, MARKSVILLE, LA 71351-2456
(318) 597-5112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-562
LA
Other
Enumeration date
08/03/2021
Last updated
08/04/2025
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