Provider Demographics
NPI:1437453636
Name:FLAHERTY, MELISSA GAIL (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GAIL
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:721 CHUCK GRAY CT
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-7308
Mailing Address - Country:US
Mailing Address - Phone:270-827-4652
Mailing Address - Fax:270-831-1182
Practice Address - Street 1:721 CHUCK GRAY CT
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-7308
Practice Address - Country:US
Practice Address - Phone:270-827-4652
Practice Address - Fax:270-831-1182
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst