Active NPI
Melissa Gissel Sanchez, BCBA
- Behavior Analyst
- Roswell, GA
National Provider Identifier
1033670484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-1935139
- Practice address
- 420 Roswell Hills PL
Roswell, GA 30075-3554 - Phone
- (404) 369-0480
- Fax
- (478) 209-9040
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-1935139 | GA | Primary |
Addresses
Primary practice location
420 Roswell Hills PL
Roswell, GA 30075-3554
Mailing address
420 Roswell Hills PL
Roswell, GA 30075-3554
Phone (404) 369-0480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003218721H | Medicaid | GA | |
| 1-19-35139 | Other | GA | BCBA CERTIFICATION NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa@beyondbehavioralsolutions.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-1935139 | GA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Behavioral Solutions, LLC | Current | Accepting new patients | |
| Blackwest, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Roswell, GA
- NPI 1174163984
-
- Behavior Analyst
- Cumming, GA
- NPI 1134731045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1033670484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 ROSWELL HILLS PL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753554",
"telephone_number": "404-369-0480",
"fax_number": "478-209-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 ROSWELL HILLS PL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753554",
"telephone_number": "404-369-0480",
"fax_number": "478-209-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MELISSA",
"middle_name": "GISSEL",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-1935139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003218721H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATION NUMBER",
"identifier": "1-19-35139",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissa@beyondbehavioralsolutions.com",
"affiliation": "N",
"endpointDescription": "business HIPAA compliant email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "420 Roswell Hills Pl",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300753554",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.