Individual
KEVERTON KEVEN RIBEIRO DE SOUZA MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
(855) 832-6727
Mailing address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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