Melissa X Acevedo

Key facts

NPI

1003675778

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808

Phone

(708) 965-4123

NPI assigned

Mar 15, 2024

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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2024.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1003675778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 ENTERPRISE DR STE 5501",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545808",
            "telephone_number": "708-965-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 ENTERPRISE DR STE 5501",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545808",
            "telephone_number": "708-965-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MELISSA",
        "middle_name": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

• ABA Autism Services
• Accelerated Rehabilitation Centers, LTD
• Access One Transportation,Corp
• Access Physical Therapy II Inc.
• Ace Transit, LLC
• Achieve Home Health Care, Inc.
• Yazmin Adame, PTA
• Advance Pain & Anesthesia Consultants, PC
• Afta Effects Salon Inc.
• Anthony Agate, HS

All providers in Westchester, IL · Behavior Technician in Illinois