Individual
MELISSA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
10541 DRUMMOND RD, PHILA, PA 19154-3807
(215) 612-7621
(215) 632-6426
Mailing address
10541 DRUMMOND RD, PHILA, PA 19154-3807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003104
PA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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