Individual
MELISSA R LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 19TH AVE, FOREST GROVE, OR 97116-1909
(971) 348-3217
Mailing address
190 SE LAKAMAS LN UNIT 2479, MCMINNVILLE, OR 97128-6899
(208) 691-9006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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