Individual
MADELINE WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
99 JIM DEARMAN RD, BUCKATUNNA, MS 39322-9635
(601) 671-1330
Mailing address
99 JIM DEARMAN RD, BUCKATUNNA, MS 39322-9635
(601) 671-1330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024-030
AL
Other
Enumeration date
09/23/2021
Last updated
07/09/2024
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