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NPI Code Detail

MEDICARE: MELISSA HAUPT

MEDICARE: MELISSA HAUPT
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073020012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HAUPT
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3605 OCEAN RANCH BLVD STE 100
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-2696
Country : US
Telephone Number : 442-325-3821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2017
Last Update Date : 09/05/2024

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Directions to “ MELISSA HAUPT ” Practice Location

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