Individual
MELISSA WINTZ-DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-3000
Mailing address
7316 ONATE CT NE, ALBUQUERQUE, NM 87109-6349
(513) 253-6147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40546
NM
Other
Enumeration date
10/04/2016
Last updated
08/16/2021
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