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Individual
MRS. MELLISA NICOLE TRUJILLO
Active
Individual
MRS. MELLISA NICOLE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45482
CO
106S00000X
Behavior Technician
00005205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992204820
—
CO
Enumeration date
02/06/2018
Last updated
09/06/2023
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