Individual
MELISSA JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4462 BUCK HOLLOW RD, COLLEGEVILLE, PA 19426-4182
(610) 831-9746
Mailing address
4462 BUCK HOLLOW RD, COLLEGEVILLE, PA 19426-4182
(610) 831-9746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8623
—
Other
Enumeration date
09/03/2012
Last updated
01/14/2019
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