Individual
MS. MELISSA WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
Mailing address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1023510187
MI
156F00000X
Technician/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023510187
STATE LICENSE
MI
Enumeration date
03/05/2018
Last updated
09/12/2025
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