Individual
MELISSA ANN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 S OAKDALE AVE, MEDFORD, OR 97501-3131
(215) 964-8884
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(541) 776-0497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/30/2017
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