Individual
MARANDA C MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 DALE DR, HILLSBORO, MO 63050-1208
(314) 606-3879
Mailing address
112 DALE DR, HILLSBORO, MO 63050-1208
(314) 606-3879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y183255002
MO
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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