Individual
JENNIE GRACE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
130 TURNBERRY WAY, PINEHURST, NC 28374-8508
(704) 440-3580
Mailing address
3464 LEWIS LOOP RD SE, BOLIVIA, NC 28422-7560
(910) 789-0258
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80377
NC
Other
Enumeration date
04/01/2025
Last updated
12/10/2025
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