Active NPI
Melissa Sue Quiroz, M.A., BCBA, LBA
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1174010607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000345
- Practice address
- 971 N Gilbert Rd Ste 101
Gilbert, AZ 85234-3481 - Phone
- (480) 559-8089
- Fax
- (317) 520-8200
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000345 | AZ | Primary |
Addresses
Primary practice location
971 N Gilbert Rd Ste 101
Gilbert, AZ 85234-3481
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-17-28249 | Other | BCBA CERTIFICATE |
Other names 1
- Melissa Mallon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000345 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Matters, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1174010607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 N GILBERT RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343481",
"telephone_number": "480-559-8089",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIROZ",
"first_name": "MELISSA",
"middle_name": "SUE",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-17-28249",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MALLON",
"credential": "M.A., BCBA, LBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.