Individual
MRS. MELISSA ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6457
Mailing address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
238-140
WI
Other
Enumeration date
07/25/2018
Last updated
05/14/2021
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