Individual
MRS. MELANIE KRISANNE KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
292 KELLEY PL, WEST FORK, AR 72774-3218
(479) 466-6173
Mailing address
292 KELLEY PL, WEST FORK, AR 72774-3218
(479) 466-6173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27208
AR
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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