Melinda A Collins
Individual provider Active NPI Behavior Analyst · Flossmoor, IL
NPI 1104123793 · NPPES record last updated Feb 17, 2011
Key facts
- NPI
- 1104123793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 19530 Kedzie Ave
Flossmoor, IL 60422-1778 - Phone
- (708) 799-2200
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
19530 Kedzie Ave
Flossmoor, IL 60422-1778
Mailing address
17746 Oak Park Ave
Tinley Park, IL 60477-3936
Other providers in Flossmoor, IL
- Shane Clausell
- Shelena Clay
- Kenneth N Cline
- CLS Comprehensive Services, LLC
- Collabcore
- Sandra K. Collins
- Sean Collins
- Community Wellness Group LLC
- Mary Condon
- Tiffinie Conner
All providers in Flossmoor, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.