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Ian Melton, BCBA

Behavior Analyst in South Bend, IN. Individual provider (NPI-1).

NPI number1376947713
StatusActive
Last updated in NPPESDec 1, 2015

Details

NPI
1376947713
Entity type
Individual (NPI-1)
Name
Ian Melton
Credential
BCBA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 14, 2014
Last updated
Dec 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
103K00000X Behavior Analyst1-14-10035MA

Practice location

2012 Ironwood Circle
Suite 100
South Bend, IN 46635-1889

Phone 855-324-0885 · Fax 765-450-6664

Mailing address

700 E Firmin Street
Suite 209
Kokomo, IN 46902-2375

Phone 765-454-9748 · Fax 765-450-6664

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