Lavoie, Melissa Lynn

Lavoie, Melissa Lynn is an sole proprietor health care provider with primary practice located at 7165 Columbia Gateway Dr , Columbia MD 21046-2539. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Lavoie, Melissa Lynn can be contacted via phone (443) 243-7647.

Contact Information

Primary practice address
7165 Columbia Gateway Dr Columbia MD 21046-2539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000786 Virginia

Profile Details

NPI number 1174076368
LBN Legal business name Lavoie, Melissa Lynn
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2016
Last updated Jan 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174076368 NPPES
Maryland MEDICAID 45-2653391

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