Individual
MELANIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 14TH ST, PLANO, TX 75074-6302
(214) 650-6708
(972) 424-2333
Mailing address
1410 14TH ST, PLANO, TX 75074-6302
(214) 650-6708
(972) 424-2333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-17-38013
TX
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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