Individual
MELISSA AMBER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1714 W ROYALE DR, MUNCIE, IN 47304-2240
(765) 587-4895
Mailing address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17390
IN
Other
Enumeration date
01/01/2015
Last updated
06/05/2019
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