Alexis Melendez, MED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47810 Issued in CA

Practice address

10221 Slater Ave Ste 114
Fountain Valley, CA 92708-4744

Phone

(909) 268-7113

NPI assigned

Mar 5, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• ABA Enhancement

  • Behavior Analyst
  • Huntington Beach, CA
  • NPI 1003448804
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1114485414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 PLAZA DE NOCHE APT 13",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822974",
            "telephone_number": "714-743-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 SLATER AVE STE 114",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084744",
            "telephone_number": "909-268-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "ALEXIS",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "10102",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-47810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QASP",
            "identifier": "10102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Mejia
• Joanne R Mejia, FNP-C
• Trinh Kim Mejia
• Violeta Amanda Mejia
• Melanie Lin MD, a Professional Corporation
• Natasha Marie Melton, OTD, OTR/L
• Melvyn H. Novegrod, M.D., Inc.
• Memorial Care Surgical Center at Orange Coast, LLC
• Memorial Radiation Oncology Medical
• Memorialcare Medical Foundation

• Behavior Analyst in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.