| NPI | 1972238830 |
|---|---|
| Former Legal Business Name | BLUE MELO LLC |
| Entity Type | Organization |
| Authorized Contact | KRISSHONDA E ODUFUWA Board Certified Behavior Analyst 469-712-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |