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General NPI Number Information
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NPI Number | 1003412800
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Entity Type | Individual
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Provider Name | MELODY MCDURHAM M.ED., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 7500 RIALTO BLVD STE 1-250
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City | AUSTIN
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State | TX
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Zip | 78735-8556
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Country | US
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Telephone | 151-280-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 12603 DEER FALLS DR
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City | AUSTIN
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State | TX
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Zip | 78729-7229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-84046
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License Number State | TX
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