Individual
MELISSA KAY COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.; BCBA; LBA
Contact information
Practice address
3403B GARDEN VILLA LN, AUSTIN, TX 78704-6915
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26721
TX
247200000X
Other Technician
—
—
Other
Enumeration date
11/07/2014
Last updated
05/24/2019
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