Individual
MR. DYLAN MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
10124 W BROAD ST STE A, GLEN ALLEN, VA 23060-3330
(804) 592-9880
Mailing address
10124 W BROAD ST STE A, GLEN ALLEN, VA 23060-3330
(804) 592-9880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001692
VA
Other
Enumeration date
04/27/2020
Last updated
06/16/2023
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