Individual
MS. MELISSA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1975 MCDOWELL ROAD, #101, NAPERVILLE, IL 60563
(331) 229-8839
Mailing address
7132 41ST ST, BERWYN, IL 60402-4126
(815) 814-9755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35747
IL
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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