Individual
MELISSA LYNN OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
73 FORD RD, WOODBRIDGE, CT 06525-1721
(203) 903-9363
(203) 513-3352
Mailing address
PO BOX 3957, NEW HAVEN, CT 06525-0957
(203) 903-9363
(203) 513-3352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0924
CT
Other
Enumeration date
03/31/2007
Last updated
01/28/2021
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