Individual provider Active NPI

Lesly Guadalupe Melgoza-Colin

  • Behavior Technician
  • Monroe, NC
National Provider Identifier
1295537785
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-356532 Issued in NC
Practice address
302 Jones St
Monroe, NC 28110-3613
Phone
(704) 406-7041
Fax
(704) 406-7041
NPI assigned
Mar 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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-24-356532 NC Primary

Addresses

Primary practice location

302 Jones St
Monroe, NC 28110-3613

Mailing address

302 Jones St
Monroe, NC 28110-3613
Phone (704) 406-7041

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-24-356532NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1295537785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 JONES ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103613",
            "telephone_number": "704-406-7041",
            "fax_number": "704-406-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 JONES ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103613",
            "telephone_number": "704-406-7041",
            "fax_number": "704-406-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOZA-COLIN",
        "first_name": "LESLY",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-24-356532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.