Kimberly Michelle Melton
Individual provider Active NPI Behavior Technician · Greenville, MO
NPI 1548051980 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1548051980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 290 Maple Street
Greenville, MO 63944 - Phone
- (573) 409-6930
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
290 Maple Street
Greenville, MO 63944
Mailing address
290 Maple Street
Greenville, MO 63944
Other providers in Greenville, MO
- Greenville SNF Opco LLC
- Robert Haldeman Jr.
- Tiffany Eliazbeth Henry
- Jennifer Anne Hovis
- Norma Kay Lloyd
- N & R of Greenville, Inc.
- Parkland Pharmacy Development LLC
- Babita Patnaik
- Melinda Karole Smith-Matthews
- Yvonne L Smith
All providers in Greenville, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.