Melton, Ian

Melton, Ian is an individual health care provider with primary practice located at 2012 Ironwood Circle Suite 100, South Bend IN 46635-1889. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Melton, Ian can be contacted via phone (855) 324-0885.

Contact Information

Primary practice address
2012 Ironwood Circle Suite 100 South Bend IN 46635-1889
Phone: (855) 324-0885
Fax: (765) 450-6664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-10035 Massachusetts
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1376947713
LBN Legal business name Melton, Ian
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2014
Last updated Dec 1st, 2015 - about 9 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 1376947713 NPPES
Other 1-14-10035 BCBA CERTIFICATE

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