Michael Mellard
Michael Mellard is a Behavior Technician in Edmond, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2248 NW 164th StEdmond, OK 73013-8801
Phone: (405) 562-3776
Fax: (405) 562-3313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700530607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
| Mailing address | 2248 Nw 164th St, Edmond, OK 73013-8801 |
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