Active NPI
Melissa Gisselle Salazar Parra
- Behavior Analyst
- Media, PA
National Provider Identifier
1316620305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH006569
- Practice address
- 77 W Baltimore Pike Ste 100B
Media, PA 19063-5639 - Phone
- (610) 572-5520
- Fax
- (610) 572-5521
- NPI assigned
- Aug 8, 2023
- 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 | BH006569 | PA | Primary |
Addresses
Primary practice location
77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Mailing address
77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Phone (610) 572-5520
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH006569 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1316620305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W BALTIMORE PIKE STE 100B",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635639",
"telephone_number": "610-572-5520",
"fax_number": "610-572-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W BALTIMORE PIKE STE 100B",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635639",
"telephone_number": "610-572-5520",
"fax_number": "610-572-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR PARRA",
"first_name": "MELISSA",
"middle_name": "GISSELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH006569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.