Individual
MELISSA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 TRAP SHOOTER CIR, LONGS, SC 29568-9481
(304) 651-6947
Mailing address
628 TRAP SHOOTER CIR, LONGS, SC 29568-9481
(304) 651-6947
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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