Provider Demographics
NPI:1417355934
Name:STEELE-PARKS, MELISSA K (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:K
Last Name:STEELE-PARKS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 CENTURY BLVD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3397
Mailing Address - Country:US
Mailing Address - Phone:678-974-2162
Mailing Address - Fax:888-533-9896
Practice Address - Street 1:1776 CENTURY BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3397
Practice Address - Country:US
Practice Address - Phone:678-974-2162
Practice Address - Fax:888-533-9896
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-14-9982103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst