Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BACB # 1-10-7239 | CA |
NPI | 1013262823 |
---|---|
Provider Name | Dana Meller |
First Address | Los Angeles, CA 90025-7566 |
Second Address | Los Angeles, CA 90025-7566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2012 |
Last Update Date | 17/07/2012 |