Provider Demographics
NPI:1437575784
Name:SPENCE, MELANIE LYNN (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:LYNN
Last Name:SPENCE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 BILLERBECK ST
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-9387
Mailing Address - Country:US
Mailing Address - Phone:717-253-6967
Mailing Address - Fax:
Practice Address - Street 1:5004 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 102-115
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-8963
Practice Address - Country:US
Practice Address - Phone:717-253-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst