Individual
MELISSA MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
6605 W CENTRAL AVE, TOLEDO, OH 43617-1000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
BEHAVIOR TECHNICIAN
—
Enumeration date
04/18/2017
Last updated
10/25/2024
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