Melissa Mark

NPI #1073258208 in Clive, Iowa

Provider Information

NPI Number: 1073258208
Entity Type: Individual
Name: Melissa Mark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 2, 2022
Last Updated: May 2, 2022

Practice Location

Address: 1860 NW 118TH ST STE 100
City: Clive
State: Iowa
ZIP Code: 50325-8278
Phone: (515) 402-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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