Individual
RENEKIA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11607 SOUTHFORK AVE BLDG B, BATON ROUGE, LA 70816-5220
(877) 418-2978
(866) 500-2186
Mailing address
1418 WOODLONG DR, BATON ROUGE, LA 70816-1568
(985) 514-5817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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