Active NPI
Melanie Danielle Bolton, M.ED, BCBA
- Behavior Analyst
- Albuquerque, NM
National Provider Identifier
1508248113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47337
- Practice address
- 215 Maple St NE
Albuquerque, NM 87106-4609 - Phone
- (505) 410-8873
- NPI assigned
- Jun 19, 2015
- 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 | 1-21-47337 | NM | Primary |
Addresses
Primary practice location
215 Maple St NE
Albuquerque, NM 87106-4609
Mailing address
215 Maple St NE
Albuquerque, NM 87106-4609
Phone (505) 410-8873
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1508248113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MAPLE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064609",
"telephone_number": "505-410-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MAPLE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064609",
"telephone_number": "505-410-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "MELANIE",
"middle_name": "DANIELLE",
"credential": "M.ED, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NM",
"license": "1-21-47337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.