Melissa Ward

Individual provider Active NPI Behavior Technician · Parkville, MO

NPI 1972000560 · NPPES record last updated Apr 10, 2018

Key facts

NPI
1972000560
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6330 NW Kelly Dr Ste a
Parkville, MO 64152-4027
Phone
(816) 469-5162
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6330 NW Kelly Dr Ste a
Parkville, MO 64152-4027

Mailing address

55548 Hood Dr Apt 2
Fort Riley, KS 66442-2961
Phone (603) 425-3794

Other providers in Parkville, MO

All providers in Parkville, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.