Individual
MRS. MELLYSA JAMIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
634 HAWAII ST, HONOLULU, HI 96817-1314
(808) 391-1379
Mailing address
634 HAWAII ST, HONOLULU, HI 96817-1314
(808) 391-1379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA19
HI
Other
Enumeration date
11/09/2015
Last updated
05/11/2023
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