Individual
MELISSA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16979
MI
Other
Enumeration date
12/30/2014
Last updated
03/08/2015
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