Individual
MELISSA ANN ROOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
10835 N 25TH AVE, PHOENIX, AZ 85029-4751
(602) 224-5499
Mailing address
8820 W SHAW BUTTE DR, PEORIA, AZ 85345-4100
(928) 583-4377
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/23/2023
Last updated
01/27/2023
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