Melissa Andree, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-34130

Practice address

2419 Washington Ave
Montevideo, MN 56265-2619

Phone

(320) 321-1484

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

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.

• SWWC Service Cooperatives

  • Local Education Agency (LEA)
  • Marshall, MN
  • NPI 1043316235
  NPD
• SWWC Service Cooperatives

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2023.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1336766674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619",
            "telephone_number": "320-321-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Saturn St N Ste A",
            "address_purpose": "LOCATION",
            "city": "Cosmos",
            "state": "MN",
            "postal_code": "562289757",
            "country_code": "US",
            "telephone_number": "320-877-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 N Hiawatha Ave",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561642282",
            "country_code": "US",
            "telephone_number": "507-825-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581392",
            "country_code": "US",
            "telephone_number": "507-337-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREE",
        "first_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-34130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Montevideo, MN
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.