Individual
MISS MELODY LYNN CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
621 N CREEK DR, RAPID CITY, SD 57703-2222
(605) 206-5004
Mailing address
621 N CREEK DR, RAPID CITY, SD 57703-2222
(605) 206-5004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
139
SD
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
06/03/2026
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