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Madelyn Rose Leclair

Behavior Technician in West Springfield, MA. Individual provider (NPI-1).

NPI number1104633262
StatusActive
Last updated in NPPESDec 12, 2024

Details

NPI
1104633262
Entity type
Individual (NPI-1)
Name
Madelyn Rose Leclair
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2024
Certification date
Dec 12, 2024
Last updated
Dec 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

900 Riverdale St Unit 286
West Springfield, MA 01089-4900

Phone 518-944-4419

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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