Individual
MISS MELONIE BROOKE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4400
Mailing address
1500 SPARKMAN DR NW APT 1H, HUNTSVILLE, AL 35816-2612
(205) 300-0796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-284387
AL
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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