Individual
MADALYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3938 S LONE PINE AVE, SPRINGFIELD, MO 65804-6859
(417) 293-3464
Mailing address
3938 S LONE PINE AVE, SPRINGFIELD, MO 65804-6859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445136
MO
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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