Melanie Calista Guptill
Behavior Technician in Lacey, WA. Individual provider (NPI-1).
NPI number1366067167
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1366067167
- Entity type
- Individual (NPI-1)
- Name
- Melanie Calista Guptill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2020
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8282 28th Ct Ne Ste ALacey, WA 98516-7162
Phone 360-915-6868
Mailing address
8282 28th Ct Ne Ste ALacey, WA 98516-7162
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