Melanie Kay McDaniel

Individual provider Active NPI Behavior Technician · San Tan Valley, AZ

NPI 1003343336 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1003343336
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1378 W Brangus Way
San Tan Valley, AZ 85143-5736
Phone
(903) 235-8992
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

1378 W Brangus Way
San Tan Valley, AZ 85143-5736

Mailing address

1378 W Brangus Way
San Tan Valley, AZ 85143-5736
Phone (903) 235-8992

Other providers in San Tan Valley, AZ

All providers in San Tan Valley, AZ · Behavior Technician in Arizona

Sources for this page

Verify at the official NPI Registry.