Melissa Black
Individual provider Active NPI Behavior Technician · Overland Park, KS
NPI 1144853706 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1144853706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7001 W 79TH St
Overland Park, KS 66204-3179 - Phone
- (303) 989-8169
- NPI assigned
- Feb 21, 2020
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
7001 W 79TH St
Overland Park, KS 66204-3179
Mailing address
7001 W 79TH St
Overland Park, KS 66204-3179
Other providers in Overland Park, KS
- Susan Kathleen Bjerg
- Jennie Lin Bjorem
- BKD HCR Master Lease 3 Tenant LLC
- BKD Personal Assistance Services LLC
- Madison Black
- Jordin Blackwell
- Tiffany V Blackwell
- Kari Blair
- Maureen Elizabeth Blair
- Johnathon Blake
All providers in Overland Park, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. 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.