Individual
MELISSA HENNEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 OFFICE PKWY, EAST PROVIDENCE, RI 02914-1643
(401) 270-7110
(877) 745-3538
Mailing address
1 OFFICE PKWY, EAST PROVIDENCE, RI 02914-1643
(401) 270-7110
(877) 745-3538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
11/06/2025
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