Melody Pardo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

G4476 S Dort Hwy
Burton, MI 48529-1806

Phone

(810) 344-8082

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Annedon Burton LLC

  • Behavior Analyst
  • Burton, MI
  • NPI 1164961033
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1407512924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G4476 S DORT HWY",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4476 S DORT HWY",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291806",
            "telephone_number": "810-344-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mpardo@sc-centers.com",
            "affiliation": "Y",
            "affiliationName": "Annedon Burton LLC",
            "address_1": "G4476 S Dort Hwy",
            "city": "Burton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485291806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Supervised Community Living,Inc
• Pals Place, LLC
• Panacea Portal LLC
• Emma Brynn Pancheck
• Dennis J Pank, MD
• Linda M Park, D.D.S.
• Parkside Dental Associates, P.C.
• Lori Parrish, LMSW
• Kayvon Anthony Parvizi
• Arpita Patel, BPHARM

• Behavior Technician in Burton, MI
• Providers in Burton, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.