Individual
KYLE BENJAMIN MELUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 ENTERPRISE DR, FOREST, VA 24551-2653
(434) 386-8983
Mailing address
2001 ENTERPRISE DR, FOREST, VA 24551-2653
(434) 386-8983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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