Melissa D Bowen
Individual provider Active NPI Behavior Technician · Cornelius, NC
NPI 1659944387 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1659944387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075 - Phone
- (818) 241-6780
- NPI assigned
- Jul 20, 2021
- 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
19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other providers in Cornelius, NC
- Anna Bordeaux
- Pamela Boston
- Anna Taylor Boulware
- Casey Leann Bowden
- Chanel C. Bowen
- Leslie Bowllan
- Kristopher Scott Boyd
- Kylie Boyer
- Andrew Curtis Brackins
- Sam Brake
All providers in Cornelius, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. 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.