Individual
MELISSA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
7661 BLACKBERRY RIDGE CV, GERMANTOWN, TN 38138-2214
(901) 210-7276
Mailing address
7661 BLACKBERRY RIDGE CV, GERMANTOWN, TN 38138-2214
(901) 210-7276
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
59
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13583
LICENSED BEHAVIOR ANALYST
—
Enumeration date
09/16/2022
Last updated
09/16/2022
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