Individual
MELISSA ANN VANDERSLICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 N 3RD ST, SEWARD, NE 68434-1815
(402) 641-2808
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-271979
NE
Other
Enumeration date
05/08/2023
Last updated
09/21/2023
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