Theriaque, Melissa Denise

Theriaque, Melissa Denise is an individual health care provider with primary practice located at 2649 Ipu Wai Ln , Wahiawa HI 96786-7004. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Theriaque, Melissa Denise can be contacted via phone (931) 538-5587.

Contact Information

Primary practice address
2649 Ipu Wai Ln Wahiawa HI 96786-7004
Phone: (931) 538-5587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Hawaii

Profile Details

NPI number 1821729187
LBN Legal business name Theriaque, Melissa Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2022
Last updated May 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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