Provider Demographics
NPI:1871318394
Name:CHALLENDER, MADISON PAIR (BCBA)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:PAIR
Last Name:CHALLENDER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 CREEKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-6046
Mailing Address - Country:US
Mailing Address - Phone:256-656-7094
Mailing Address - Fax:
Practice Address - Street 1:48065 US HIGHWAY 78 STE D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-6779
Practice Address - Country:US
Practice Address - Phone:205-548-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst