Individual
MRS. MELANIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
(540) 366-5523
Mailing address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
(540) 366-5523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000911
VA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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