Individual
BREAH MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 COHOSH RD, NOKOMIS, FL 34275-6802
(941) 716-5981
Mailing address
140 COHOSH RD, NOKOMIS, FL 34275-6802
(941) 716-5981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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