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NPI Code Detail

MEDICARE: DEMMI MICHELLE MEJIA

MEDICARE: DEMMI MICHELLE MEJIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2390200000XStudent in an Organized Health Care Education/Training Program
3171M00000XCase Manager/Care CoordinatorF8014793CA

General Provider Information

NPI Number : 1154989994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMMI MICHELLE MEJIA
Provider Business Mailing Address
First Line : 4590 ALLSTATE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1702
Country : US
Telephone Number : 909-599-1227
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 877-205-6269
Fax Number : 877-214-4220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/01/2026

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Directions to “ DEMMI MICHELLE MEJIA ” Practice Location

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