Individual
MELISSA BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 COUNTRY VIEW WAY, TELFORD, PA 18969-1338
(267) 718-0116
Mailing address
122 COUNTRY VIEW WAY, TELFORD, PA 18969-1338
(267) 718-0116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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