Healthcare Provider Details

I. General information

NPI: 1841963576
Provider Name (Legal Business Name): MELANIE YODER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6176 HUDNELL RD
ATHENS OH
45701-8951
US

IV. Provider business mailing address

6176 HUDNELL RD
ATHENS OH
45701-8951
US

V. Phone/Fax

Practice location:
  • Phone: 614-620-3113
  • Fax:
Mailing address:
  • Phone: 614-620-3113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number207
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: