Individual
MELANIE STREET HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 STONEWALL AVE W, FAYETTEVILLE, GA 30214-1547
(678) 271-2107
(770) 683-1991
Mailing address
1008 STERLING PT, PEACHTREE CITY, GA 30269-3600
(678) 490-1048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218736A
—
GA
05
—
003243127B
—
GA
Enumeration date
04/20/2020
Last updated
09/14/2023
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