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1154036572
MADELYN VICKERY
STATESBORO, GA
NPI
1154036572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 12363982)
Enumeration Date
2023-01-19
Last Update Date
2023-11-01
Business Address
MADELYN VICKERY BCBA
12313 US HIGHWAY 301 S
STATESBORO, GA 30458-3218
Phone number: 800-844-1232
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Mailing Address
MADELYN VICKERY BCBA
975 W HAWTHORN DR
ITASCA, IL 60143-2056
Phone number: 800-844-1232
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