Individual
MELANIE MAGAZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HIGHTOWER TRL STE B120, ATLANTA, GA 30350-6205
(678) 477-1285
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41774
GA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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