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Individual

MELISSA ELDRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3222 W BROADWAY ST, ARDMORE, OK 73401-9645
(714) 231-5369
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/04/2026
Last updated
07/13/2026
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