Individual
MELINDA HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HORNET DR, HAZELWOOD, MO 63042-2310
(314) 989-7921
Mailing address
900 HORNET DR, HAZELWOOD, MO 63042-2310
(314) 989-7921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021017667
MO
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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