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NPI Code Detail

MEDICARE: MELISSA SCHLOTTERER MA, BCBA, COBA

MEDICARE: MELISSA SCHLOTTERER MA, BCBA, COBA
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
1103K00000XBehavior Analyst100OH
2103K00000XBehavior Analyst1-08-4550OH
3103K00000XBehavior AnalystCOBA.100OH

General Provider Information

NPI Number : 1447794706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SCHLOTTERER MA, BCBA, COBA
Provider Business Mailing Address
First Line : 333 N SUMMIT ST FL 7
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2105 LAWRENCE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-4822
Country : US
Telephone Number : 419-291-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2016
Last Update Date : 07/11/2023

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