Individual
BRENDA MARIE MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL TECH
Contact information
Practice address
73 PHILLIPSTON RD, BARRE, MA 01005-9432
(774) 262-9848
Mailing address
345A GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/04/2019
Last updated
11/20/2020
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