Individual
KATRINA LYNN MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
220 SULLIVAN RD, AVONDALE, PA 19311-9356
(215) 370-1987
(484) 720-8110
Mailing address
220 SULLIVAN RD, AVONDALE, PA 19311-9356
(215) 370-1987
(484) 720-8110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
10/07/2020
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