Healthcare Provider Details

I. General information

NPI: 1861306136
Provider Name (Legal Business Name): AALIYAH YASMEEN MELENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 OLD YORK RD STE 221
ELKINS PARK PA
19027-1425
US

IV. Provider business mailing address

2818 S 82ND ST APT D
PHILADELPHIA PA
19153-1657
US

V. Phone/Fax

Practice location:
  • Phone: 215-594-3181
  • Fax:
Mailing address:
  • Phone: 215-398-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: