Individual provider Active NPI

Danielle Lombardo Melton, BCBA

  • Behavior Analyst
  • Norman, OK
National Provider Identifier
1043772569
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43897 Issued in OK
Practice address
2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone
(405) 561-7928
Fax
(405) 310-9944
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-43897 OK Primary

Addresses

Primary practice location

2405 Palmer Cir Ste 100
Norman, OK 73069-6351

Mailing address

2405 Palmer Cir Ste 100
Norman, OK 73069-6351
Phone (405) 561-7928

Other identifiers 1

IdentifierTypeStateIssuer
200890070AMedicaidOK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Education Corporation Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1043772569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696351",
            "telephone_number": "405-561-7928",
            "fax_number": "405-310-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO MELTON",
        "first_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-20-43897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.