MADELINE JULIA CLARK

PORTLAND, OR
NPI1952709107
Former NameMADELINE JULIA WALENTINY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2014-12-19
Last Update Date2020-05-04
Business Address
MADELINE JULIA CLARK BCBA
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 818-241-6780
Mailing Address
MADELINE JULIA CLARK BCBA
PO BOX 767938
ROSWELL, GA 30076-7938
Phone number: 818-241-6780