Whalio Doctors

NPI 1457125452

Madelene Bangalan Marcon, BCBA

Practitioner Behavior Analyst Bryant, AR

Practice location

Address
908 N Reynolds Rd, Bryant, AR 72022-3034
Phone
(501) 847-9711
Fax
(501) 847-6929
Mailing address
P.O. Drawer 2109, Russellville, AR 72811-2109

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-23-66077 (AR)

Registry record

NPI
1457125452
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Nov 2023
Record last updated
9 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.