Individual
MADISON PETRMICHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4512 AVELLINO DR, ROUND ROCK, TX 78665-2797
(402) 682-1185
Mailing address
4512 AVELLINO DR, ROUND ROCK, TX 78665-2797
(402) 682-1185
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86643
TX
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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