Individual
MADISON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 1ST AVE N, MOORHEAD, MN 56560-2893
(218) 979-6274
Mailing address
1530 1ST AVE N, MOORHEAD, MN 56560-2893
(218) 979-6274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/03/2019
Last updated
12/30/2022
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