Individual
MADISON MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19019 STATE HIGHWAY 71 W, SPICEWOOD, TX 78669-6468
(512) 646-9789
Mailing address
19019 STATE HIGHWAY 71 W, SPICEWOOD, TX 78669-6468
(512) 646-9789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6412
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/07/2021
Last updated
01/04/2024
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