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Organization
FARM CREEK
Active
Organization
FARM CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE KELLS BCBA (OWNER)
(831) 334-0248
Entity
Organization
Contact information
Practice address
190 CHERRY HILL DR APT SUITE, STAFFORD, VA 22556-3654
(831) 334-0248
Mailing address
190 CHERRY HILL DR APT SUITE, STAFFORD, VA 22556-3654
(831) 334-0248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275900383
—
VA
Enumeration date
09/12/2022
Last updated
09/12/2022
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