Individual
MELISSA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1001 BROAD ST STE 210, JOHNSTOWN, PA 15906-2437
(814) 262-0768
(814) 262-0795
Mailing address
1001 BROAD ST STE 210, JOHNSTOWN, PA 15906-2437
(814) 262-0768
(814) 262-0795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42537
PA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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