Individual
MELISSA MARION BOERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 WITCH HAZEL ST, SUMMERVILLE, SC 29486-6978
(720) 839-6320
Mailing address
313 WITCH HAZEL ST, SUMMERVILLE, SC 29486-6978
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-20-114726
SC
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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