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NPI Code Detail

MEDICARE: MS. MELANIE SWEENEY BCBA

MEDICARE: MS. MELANIE SWEENEY BCBA
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 Analyst1-19-36127IL

General Provider Information

NPI Number : 1891355582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELANIE SWEENEY BCBA
Provider Business Mailing Address
First Line : 3417 N KENNICOTT AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7824
Country : US
Telephone Number : 847-340-5161
Fax Number :
Provider Business Practice Location Address
First Line : 3417 N KENNICOTT AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7824
Country : US
Telephone Number : 847-340-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2019
Last Update Date : 06/16/2019

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