Individual
MADELYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
885 JUNCTION DR, ALLEN, TX 75013-5006
(469) 365-2226
Mailing address
2545 WINCREST DR, ROCKWALL, TX 75032-7002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76388
TX
Other
Enumeration date
08/02/2021
Last updated
10/14/2024
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