MELANIE WITZIG BANACK

PORT ST LUCIE, FL
NPI1912416900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-09-22
Last Update Date2022-10-14
Business Address
MELANIE WITZIG BANACK
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5530
Phone number: 772-463-0444
Mailing Address
MELANIE WITZIG BANACK
8024 PLANTATION LAKES DR
PORT ST LUCIE, FL 34986-3013
Phone number: 772-201-1371
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