Individual
MELINDA COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
2453 POWDER SPRINGS RD SW BLDG 500, MARIETTA, GA 30064-4570
(404) 593-0078
Mailing address
140 BRYON LN, ACWORTH, GA 30102-5501
(404) 542-0121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47329
GA
Other
Enumeration date
04/07/2021
Last updated
06/02/2025
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