Healthcare Provider Details

I. General information

NPI: 1720944085
Provider Name (Legal Business Name): MELISSA ANN DARGON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA ANN LAPERLE

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MAPLE ST
SPRINGFIELD MA
01105-1864
US

IV. Provider business mailing address

16 SAWGRASS LN
SOUTHWICK MA
01077-9834
US

V. Phone/Fax

Practice location:
  • Phone: 413-331-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: