Melissa Kaitlyn Weaver

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2050 Classique LN
Tavares, FL 32778-5787

Phone

(352) 508-5243

Fax

(352) 602-4142

NPI assigned

Jun 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Deborah L. McCoy Behavior Analyst Inc.

  • Behavior Analyst
  • Fruitland Park, FL
  • NPI 1952628059
  NPD

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1447770334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 PALM DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573316",
            "telephone_number": "407-591-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785787",
            "telephone_number": "352-508-5243",
            "fax_number": "352-602-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MELISSA",
        "middle_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterman SNF Operations LLC
• Tamara C Watkins
• John Thomas Watson, M.D.
• Rohan M Watson, MD
• Shasnor Watson Sr.
• William Henry Weaver, D.O.
• Victoria Denise Weeks Evans, BEHAVIOR ANALYST
• Samuel Clayton Weeks Jr., BEHAVIOR TECHNICIAN
• Scott Wehrly, M.D.
• Wei Beyond Acupuncture LLC

• All providers in Tavares, FL
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.