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Individual

MELISSA RENE STUDEBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
4801 MONTANO RD NW STE A2, ALBUQUERQUE, NM 87120-2423
(505) 336-0560
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/20/2017
Last updated
02/26/2024
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