Mellinger, Laura Beth

Mellinger, Laura Beth is an sole proprietor health care provider with primary practice located at 3223 N Oliver St , Wichita KS 67220-2106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Mellinger, Laura Beth can be contacted via phone (316) 267-5437.

Contact Information

Primary practice address
3223 N Oliver St Wichita KS 67220-2106
Phone: (316) 267-5437
Fax: (316) 267-5444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Kansas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Kansas

Profile Details

NPI number 1891220364
LBN Legal business name Mellinger, Laura Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Apr 21st, 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 1891220364 NPPES
Kansas MEDICAID 1942649116

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