MEDICARE: MAELEE D ARNOLD

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
1	106S00000X	Behavior Technician	106S00000X	NC

General Provider Information

NPI Number	:	1205688041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAELEE D ARNOLD

Provider Business Mailing Address
First Line	:	2227 SHADOW VALLEY RD
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-2076
Country	:	US
Telephone Number	:	336-302-5839
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 SHADOW VALLEY RD
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-2076
Country	:	US
Telephone Number	:	336-302-5839
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

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Directions to “ MAELEE D ARNOLD ” Practice Location

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