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NPI Code Detail

MEDICARE: MELISSA ANDERSON RBT

MEDICARE: MELISSA ANDERSON RBT
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 TechnicianRBT-24-352089GA

General Provider Information

NPI Number : 1326880451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANDERSON RBT
Provider Business Mailing Address
First Line : 3623 CALVIN DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7915
Country : US
Telephone Number : 706-940-5100
Fax Number : 762-208-7512
Provider Business Practice Location Address
First Line : 3623 CALVIN DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7915
Country : US
Telephone Number : 706-940-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 04/06/2026

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