Individual
MELANIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3317 MASONBORO LOOP RD UNIT 150, WILMINGTON, NC 28409-2970
(910) 599-2230
Mailing address
3317 MASONBORO LOOP RD UNIT 150, WILMINGTON, NC 28409-2970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68636
NC
106E00000X
Assistant Behavior Analyst
0-21-11742
NJ
106S00000X
Behavior Technician
RBT-19-80393
NJ
Other
Enumeration date
06/17/2019
Last updated
10/10/2023
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