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NPI Code Detail

MEDICARE: MELISSA MARIE STUMP

MEDICARE: MELISSA MARIE STUMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1003678947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MARIE STUMP
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : 7365 PRAIRIE FALCON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0807
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2024
Last Update Date : 01/26/2024

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Directions to “ MELISSA MARIE STUMP ” Practice Location

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