Individual
ALYSA JORDAN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29174 SW TOWN CENTER LOOP W STE 101, WILSONVILLE, OR 97070-9309
(971) 252-6155
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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