Melissa Bruce, M.ED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27429

Practice address

200 N Vineyard Blvd
Honolulu, HI 96817-3950

Phone

(808) 523-8188

Fax

(808) 524-8186

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ethos Behavior Consulting LLC

  • Behavior Analyst
  • Waldorf, MD
  • NPI 1407506884
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1013361344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 MOCKINGBIRD CIR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034632",
            "telephone_number": "202-868-3693",
            "fax_number": "808-524-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-523-8188",
            "fax_number": "808-524-8186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 Mockingbird Cir",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034632",
            "country_code": "US",
            "telephone_number": "120-286-8369",
            "fax_number": "808-524-8186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MELISSA",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-27429",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce a. G. Soll M.D., LLC
• Bruce S. Katsura MD, Inc
• Bruce Y. Todoki, D.D.S., Inc.
• Eileen Bruce
• Emily Joanne Bruce, FNP
• Caroline Mira Bruesch, LMT
• Tracy Brumskill, APRN
• Rachel Ann Brunmeier, DMD
• Michiko Kimura Bruno, M.D.
• Philip P. Bruno, DO

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.