Provider Demographics
NPI:1588178826
Name:SESSION, MELVINA D (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:MELVINA
Middle Name:D
Last Name:SESSION
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12650 ANTIGUA CT
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-5370
Mailing Address - Country:US
Mailing Address - Phone:657-229-1417
Mailing Address - Fax:949-259-5359
Practice Address - Street 1:600 W SANTA ANA BLVD STE 114
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4514
Practice Address - Country:US
Practice Address - Phone:657-229-1417
Practice Address - Fax:949-259-5359
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0674103K00000X
CA1-17-26753103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst