Individual
MELISSA CARMIENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1452 N HIGLEY RD, GILBERT, AZ 85234-1610
(480) 269-0786
Mailing address
2020 E WILDERMUTH AVE UNIT 2062, TEMPE, AZ 85281-0369
(602) 516-6872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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