Individual
MELISSA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 E ARCH ST, MILL HALL, PA 17751-1813
(570) 394-2076
Mailing address
16 E ARCH ST, MILL HALL, PA 17751-1813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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