Individual
JOSH LIAM MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 W NORTH SHORE AVE # 2W, CHICAGO, IL 60626-5603
(414) 758-4849
Mailing address
1223 W NORTH SHORE AVE # 2W, CHICAGO, IL 60626-5603
(414) 758-4849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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