Individual
MRS. MELINDA ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3499
(682) 303-9248
Mailing address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3499
(682) 303-9248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108
UNITED HEALTHCARE, AETNA
TX
Enumeration date
01/31/2020
Last updated
01/31/2020
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