Healthcare Provider Details

I. General information

NPI: 1699686071
Provider Name (Legal Business Name): MELINDA NICOLE HUBBARD BOARD CERTIFIED BEHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 WALNUT STREET
MARTINS FERRY OH
43935
US

IV. Provider business mailing address

611 WALNUT STREET PO BOX 244
MARTINS FERRY OH
43935
US

V. Phone/Fax

Practice location:
  • Phone: 740-609-5072
  • Fax:
Mailing address:
  • Phone: 740-609-5072
  • Fax: 740-609-5073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2848100
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: