Provider Demographics
NPI:1831408566
Name:SAUNDERS, MELISSA S (BCBA-D, LABA, LBA)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:S
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:BCBA-D, LABA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2363
Mailing Address - Country:US
Mailing Address - Phone:860-413-9538
Mailing Address - Fax:860-838-4241
Practice Address - Street 1:835 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2363
Practice Address - Country:US
Practice Address - Phone:860-413-9538
Practice Address - Fax:860-838-4241
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-10-6779103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst