Individual
HEATHER MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 MARYLAND WAY, BRENTWOOD, TN 37027-7508
(615) 370-9337
Mailing address
5110 MARYLAND WAY, BRENTWOOD, TN 37027-7508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000383
TN
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/10/2019
Last updated
10/13/2022
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