Miranda Justine Mellendorf
Miranda Justine Mellendorf is a Behavior Technician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2021.
- Licensed in
- IN
- In the registry since
- 2021
Practice location Address checks out
8350 Craig StIndianapolis, IN 46250-3593
Phone: (317) 578-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IN) |
|---|
Record details
| NPI number | 1700559747 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 27, 2021 |
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