Healthcare Provider Details

I. General information

NPI: 1366356024
Provider Name (Legal Business Name): MS. MELANY ALYN ESCOBEDO I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 2ND ST SW STE 140
AUBURN WA
98001-5285
US

IV. Provider business mailing address

4248 A ST SE TRLR 622
AUBURN WA
98002-8613
US

V. Phone/Fax

Practice location:
  • Phone: 253-737-5078
  • Fax:
Mailing address:
  • Phone: 303-396-5137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: