Individual provider Active NPI

Melissa Gissel Sanchez, BCBA

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1033670484
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-1935139 Issued in GA
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

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003218721HMedicaidGA
1-19-35139OtherGABCBA CERTIFICATION NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1-1935139GAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavioral Solutions, LLC CurrentSince May 29, 2022 Accepting new patients
Blackwest, LLC Behavior Analyst PastSince Aug 23, 2020 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.

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.

Verify at the official NPI Registry.