Coburn, Madeline Nicole

Coburn, Madeline Nicole is an sole proprietor health care provider with primary practice located at 2740 College Ave , Conway AR 72034-6141. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Coburn, Madeline Nicole can be contacted via phone (501) 329-5459.

Contact Information

Primary practice address
2740 College Ave Conway AR 72034-6141
Phone: (501) 329-5459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-72178 Arkansas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arkansas

Profile Details

NPI number 1861037970
LBN Legal business name Coburn, Madeline Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2019
Last updated Apr 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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