Individual
MRS. MELISSA ANNE HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5 REVERE DR, NORTHBROOK, IL 60062-1566
(844) 247-7222
Mailing address
223 WELLESLEY LN, SCHAUMBURG, IL 60193-1144
(847) 609-1811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28199
IL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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