Melissa Boler

Individual provider Active NPI Day Training/Habilitation Specialist · Midlothian, TX

NPI 1366813461 · NPPES record last updated Oct 14, 2015

Key facts

NPI
1366813461
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
110 E Ohio Ave
Midlothian, TX 76065-2730
Phone
(469) 672-6902
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Training Foundation Current
since Sep 13, 2020
Accepting new patients

Locations

110 E Ohio Ave
Midlothian, TX 76065
Phone (469) 672-6902

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

110 E Ohio Ave
Midlothian, TX 76065-2730

Mailing address

110 E Ohio Ave
Midlothian, TX 76065-2730
Phone (469) 672-6902

Other providers in Midlothian, TX

All providers in Midlothian, TX · Day Training/Habilitation Specialist in Texas

Sources for this page

Verify at the official NPI Registry.