Individual provider Active NPI

Melisa Ogric

  • Behavior Technician
  • Waterloo, IA
National Provider Identifier
1205767811
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-503111 Issued in IA
Practice address
815 Tower Park Dr
Waterloo, IA 50701-9027
Phone
(319) 242-7642
NPI assigned
May 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-503111 IA Primary

Addresses

Primary practice location

815 Tower Park Dr
Waterloo, IA 50701-9027

Mailing address

1808 Coachman Dr
Waterloo, IA 50701-1709

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

State licenses

LicenseStateTypeSpecialty
RBT-25-503111IAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1205767811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 COACHMAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 TOWER PARK DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019027",
            "telephone_number": "319-242-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGRIC",
        "first_name": "MELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IA",
            "license": "RBT-25-503111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.