MEDICARE: MELISSA COTE

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1750742888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA COTE

Provider Business Mailing Address
First Line	:	23679 CALABASAS RD STE 954
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1502
Country	:	US
Telephone Number	:	833-288-4764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 WIGWAM PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-8164
Country	:	US
Telephone Number	:	833-288-4764
Fax Number	:

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

Provider Enumeration Date	:	03/17/2016
Last Update Date	:	08/13/2020

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Directions to “ MELISSA COTE ” Practice Location

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