Individual
MADELYNN LACI FOUGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 38TH AVE N # 391, MYRTLE BEACH, SC 29577-1313
(720) 600-8434
Mailing address
3237 SADDLEWOOD CIR, MYRTLE BEACH, SC 29579-4346
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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