MEDICARE: MELANIE JASZKOWIAK

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

General Provider Information

NPI Number	:	1306521646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE JASZKOWIAK

Provider Business Mailing Address
First Line	:	431 W PLUMB LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3766
Country	:	US
Telephone Number	:	775-200-0935
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 82045
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-2045
Country	:	US
Telephone Number	:	702-319-1555
Fax Number	:

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

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	03/20/2026

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Directions to “ MELANIE JASZKOWIAK ” Practice Location

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