Individual provider · Type 1 NPI

Madelynn Laci Fougere

Assistant Behavior Analyst · Myrtle Beach, SC

NPI number 1912842774 Active

Practice location

1229 38th Ave N # 391
Myrtle Beach, SC 29577-1313

Call (720) 600-8434 Map

Mailing address

3237 Saddlewood Cir
Myrtle Beach, SC 29579-4346

Specialties and licenses

Taxonomy	Code	License
Assistant Behavior Analyst Primary	106E00000X	None listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1912842774

Madelynn Laci Fougere's National Provider Identifier is 1912842774, issued on Apr 20, 2026. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Apr 20, 2026.