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NPI Code Detail

MEDICARE: MELISSA CACIOPPO

MEDICARE: MELISSA CACIOPPO
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 Technician

General Provider Information

NPI Number : 1972312635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CACIOPPO
Provider Business Mailing Address
First Line : 200 VESTAVIA PKWY STE 2400
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-490-5364
Fax Number :
Provider Business Practice Location Address
First Line : 200 VESTAVIA HILLS PKWY STE 2400
Second Line : FLOOR 1
City : VESTAVIA HILLS
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-490-5364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/06/2025

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Directions to “ MELISSA CACIOPPO ” Practice Location

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