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Madalyne Harrelson

Behavior Technician in Traverse City, MI. Individual provider (NPI-1).

NPI number1619709292
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1619709292
Entity type
Individual (NPI-1)
Name
Madalyne Harrelson
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 14, 2024
Certification date
Aug 14, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

945 Barlow St
Traverse City, MI 49686-4250

Phone 231-268-0007

Mailing address

945 Barlow St
Traverse City, MI 49686-4250

Phone 231-268-0007 · Fax 231-525-3170

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