Melissa Poole

NPI #1376101592 in Jefferson, Maryland

Provider Information

NPI Number: 1376101592
Entity Type: Individual
Name: Melissa Poole
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2019
Last Updated: Jun 3, 2019

Practice Location

Address: 4599 COPPERFIELD DR
City: Jefferson
State: Maryland
ZIP Code: 21755-8241
Phone: (240) 409-0184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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