Provider Demographics
NPI:1811601529
Name:RAY, MADISON MARIE (MS, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:MARIE
Last Name:RAY
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 RESEARCH FOREST DR APT 3203
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1570
Mailing Address - Country:US
Mailing Address - Phone:832-370-8556
Mailing Address - Fax:
Practice Address - Street 1:22001 NORTHPARK DR STE 400
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3809
Practice Address - Country:US
Practice Address - Phone:281-223-5300
Practice Address - Fax:281-783-2839
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5590103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst