| NPI | 1629514757 |
|---|---|
| Former Name | MADISON COLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-16-24628) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2168) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-02-12 |