Individual
ELIZABETH BLBREY MCMELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 W LOUISIANA AVE STE 110, MIDLAND, TX 79701-5826
(143) 257-0440
Mailing address
2407 W LOUISIANA AVE STE 110, MIDLAND, TX 79701-5826
(143) 257-0440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4967
TX
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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