Individual
MRS. MELISSA KATE BRINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1308 TULLS CREEK RD, MOYOCK, NC 27958-9384
(757) 515-7985
Mailing address
1308 TULLS CREEK RD, MOYOCK, NC 27958-9384
(757) 515-7985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13808534
CAQH
VA
Enumeration date
09/25/2012
Last updated
05/02/2016
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