Individual
MELANIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
(586) 573-1810
Mailing address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
(586) 573-1810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
04/10/2026
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