Marisa Nicole Mellett

NPI #1144724907 in Southlake, Texas

Provider Information

NPI Number
1144724907
Entity Type
Individual
Name
Marisa Nicole Mellett
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Mar 19, 2018
Last Updated
Mar 19, 2018

Practice Location

Address
2104 GREENBRIAR DR
State
Texas
ZIP Code
76092-8355
Phone
(817) 442-9022

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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