Individual
MELISSA ROSE RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 N 28TH DR STE C202, PHOENIX, AZ 85029-5600
(815) 543-4384
Mailing address
16948 W NORTHAMPTON RD, SURPRISE, AZ 85374-6893
(815) 543-4384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-502779
AZ
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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