DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATRINA LYNN MELLOTT, BCBA

Active Sole Proprietor

Behavior Analyst · AVONDALE, PA

Registration Details

NPI Number
1366705881
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2012 (13.882921300704 yrs)
Last Updated
Oct 7, 2020
Sole Proprietor
Yes

Practice Information

Address
220 SULLIVAN RD
AVONDALE, PA, 193119356
Browse PA providers · Browse ZIP 19311
Phone
2153701987
Fax
4847208110
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in AVONDALE, PA

Name Credential NPI
MISS CARLEY ENGLAND FABIAN BCBA 1710318068
VICTORIA HARRISON 1255084455
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.