Individual
MELISSA MARIE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(623) 257-1333
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-64518
BCBA CERTIFICATE
—
Enumeration date
05/20/2019
Last updated
03/24/2026
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