Melanie Andrade

Individual provider Active NPI Behavior Technician · Hacienda Heights, CA

NPI 1992297576 · NPPES record last updated May 31, 2018

Key facts

NPI
1992297576
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2219 S Hacienda Blvd
Hacienda Heights, CA 91745-4639
Phone
(626) 764-0001
NPI assigned
May 31, 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 CA Yes

Addresses

Primary practice location

2219 S Hacienda Blvd
Hacienda Heights, CA 91745-4639

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Other providers in Hacienda Heights, CA

All providers in Hacienda Heights, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.