Healthcare Provider Details

I. General information

NPI: 1194962639
Provider Name (Legal Business Name): MELISSA FRENCH BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 06/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD BUILDING C, SUITE 102
NORTH KINGSTOWN RI
02852-4161
US

IV. Provider business mailing address

1130 TEN ROD RD BUILDING C, SUITE 102
NORTH KINGSTOWN RI
02852-4161
US

V. Phone/Fax

Practice location:
  • Phone: 401-294-3990
  • Fax: 401-294-9879
Mailing address:
  • Phone: 401-294-3990
  • Fax: 401-294-9879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-9501
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: