Individual
MELISSA HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W 900 S, FLAT ROCK, IN 47234-9773
(317) 512-3063
Mailing address
1800 W 900 S, FLAT ROCK, IN 47234-9773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415480
IN
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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