Individual
ALYSSA MELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
11311 BUSINESS CENTER DR, SUITE C, NORTH CHESTERFIELD, VA 23236-3199
(804) 378-3141
(804) 893-4052
Mailing address
11311 BUSINESS CENTER DR, SUITE C, NORTH CHESTERFIELD, VA 23236-3199
(804) 378-3141
(804) 893-4052
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
27-1758766
VA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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