Individual
MELISSA GAVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BSL
Contact information
Practice address
12 W RICHLAND AVE, MYERSTOWN, PA 17067-1529
(267) 254-9939
Mailing address
12 W RICHLAND AVE, MYERSTOWN, PA 17067-1529
(267) 254-9939
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001307
PA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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