Individual
MELODY HSIN LIU KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA
Contact information
Practice address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5885
Mailing address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1118920
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
30658
CA
Other
Enumeration date
08/28/2013
Last updated
01/03/2022
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