Individual
MELANIE POMAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 W MONTROSE AVE, CHICAGO, IL 60634-1556
(517) 599-7422
Mailing address
5875 PEACHTREE DR, GRAND LEDGE, MI 48837-8908
(517) 599-7422
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22735
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/04/2016
Last updated
12/28/2019
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