| NPI | 1144611468 |
|---|---|
| Former Name | MELISSA ANN PATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-14-6337) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-10-23 |