Individual
MS. MELANIE LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5949 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 352-6456
Mailing address
1639 WESTOVER AVE, PETERSBURG, VA 23805-2819
(804) 502-1928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
05/19/2026
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