Individual
MRS. MELISSA TICE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACB
Contact information
Practice address
27 LIGHTHOUSE DR, REHOBOTH BEACH, DE 19971-9575
(302) 245-9262
Mailing address
27 LIGHTHOUSE DR, REHOBOTH BEACH, DE 19971-9575
(302) 245-9262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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