Most Relevant Information
Provider Data
| NPI Number: | 1003470667 |
| Provider Name: | MELISSA MELCHOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2019 |
| Last Updated: | 07/13/2020 |
Provider Practice Location
1926 VIA CTR STE B
VISTA
CA
920816056
Practice Location Phone/Fax
| Phone: | 7602941206 |
| Fax: |
Provider Mailing Location
18008 SKY PARK CIR STE 110
IRVINE
CA
926146434
Provider Mailing Phone/Fax
| Phone: | 9494741493 |
| Fax: |