Melissa Bean
Individual provider Active NPI Behavior Analyst · Niceville, FL
NPI 1164052254 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1164052254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-39290 (VA)
- Practice address
- 4673 E Highway 20
Niceville, FL 32578-9796 - Phone
- (850) 607-6910
- Fax
- (850) 607-6932
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Applied Behavior Analysis | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-39290 | VA | Yes |
Addresses
Primary practice location
4673 E Highway 20
Niceville, FL 32578-9796
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Other providers in Niceville, FL
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- Bayside Psychology Services, LLC
- Baywind Medical, Inc
- Beachside Pediatric Associates, P.a.
- Scott L Beals
- Diane L Beck
- Rockford Beegen
- Jason Belanger
- Marilyn Kay Benham
- Elizabeth Bennett
All providers in Niceville, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 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.