Individual
MELISSA RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38513 HURON POINTE DR, HARRISON TWP, MI 48045-2841
(586) 292-5126
Mailing address
38513 HURON POINTE DR, HARRISON TWP, MI 48045-2841
(586) 292-5126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/23/2016
Last updated
08/16/2022
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