Individual
MELANIE FAITH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W SHERMAN WAY STE 1, NIXA, MO 65714-9022
(417) 298-0984
(417) 374-7185
Mailing address
116 W SHERMAN WAY STE 1, NIXA, MO 65714-9022
(417) 298-0984
(417) 374-7185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-266538
MO
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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