Provider Demographics
NPI:1912721507
Name:FOY, MELISSA A (QBA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:FOY
Suffix:
Gender:F
Credentials:QBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 JOYCE RD
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31503-2901
Mailing Address - Country:US
Mailing Address - Phone:912-286-3737
Mailing Address - Fax:
Practice Address - Street 1:363 JOYCE RD
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31503-2901
Practice Address - Country:US
Practice Address - Phone:912-286-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst