Individual
MELISSA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CURRITUCK COMMERICAL DR, MOYOCK, NC 27958-9083
(252) 435-1665
Mailing address
111 CURRITUCK COMMERICAL DR, MOYOCK, NC 27958-9083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001348
VA
Other
Enumeration date
05/18/2018
Last updated
03/28/2019
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