Individual
DAVEON MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
(812) 202-6001
Mailing address
2495 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8431
(812) 202-6001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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