Organization
BLUE MELO LLC
Active
Other names
Blue Melo LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISSHONDA E ODUFUWA M.ED.,BCBA,LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(469) 712-4036
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(469) 712-4036
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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