Most Relevant Information
Provider Data
| NPI Number: | 1003678947 |
| Provider Name: | MELISSA MARIE STUMP |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2024 |
| Last Updated: | 01/26/2024 |
Provider Practice Location
7365 PRAIRIE FALCON RD
LAS VEGAS
NV
891280807
Practice Location Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |
Provider Mailing Location
PO BOX 360595
PITTSBURGH
PA
152516595
Provider Mailing Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |