Individual
MELISSA TICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
3320 HARMON AVE APT 426, AUSTIN, TX 78705-2168
(619) 808-2524
Mailing address
3320 HARMON AVE APT 426, AUSTIN, TX 78705-2168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016031093
MO
Other
Enumeration date
08/07/2012
Last updated
07/22/2017
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