Individual
MS. MELISSA MUMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(650) 286-4396
Mailing address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MHI85341
MO
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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