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Individual

MADISON AUBREY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(501) 574-3053
Mailing address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48642
AR
106S00000X
Behavior Technician

Other

Enumeration date
02/24/2020
Last updated
04/18/2022
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