Melissa Haines, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42537 Issued in PA

Practice address

1001 Broad St Ste 210
Johnstown, PA 15906-2437

Phone

(814) 262-0768

Fax

(814) 262-0795

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Childrens Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1619949948
  NPD (past)

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1114696374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROAD ST STE 210",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062437",
            "telephone_number": "814-262-0768",
            "fax_number": "814-262-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROAD ST STE 210",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062437",
            "telephone_number": "814-262-0768",
            "fax_number": "814-262-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-20-42537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haffar Pulmonary Care PC
• Lisa Ann Hagerich, LCSW
• Melissa Haggerty
• Michael S Hahm, MD
• Alexis Hahn
• Abbey Leigh Halula
• Stephanie Hamilton
• Shanna Marie Handzus, MA, NCC
• Allison Haney
• William Thomas Hanik Jr., DPT

• Behavior Analyst in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.