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1952709107
MADELINE JULIA CLARK
PORTLAND, OR
NPI
1952709107
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Former Name
MADELINE JULIA WALENTINY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2014-12-19
Last Update Date
2020-05-04
Business Address
MADELINE JULIA CLARK BCBA
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 818-241-6780
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Mailing Address
MADELINE JULIA CLARK BCBA
PO BOX 767938
ROSWELL, GA 30076-7938
Phone number: 818-241-6780
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