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NPI Code Detail

MEDICARE: MELISSA TACEY GARCIA

MEDICARE: MELISSA TACEY GARCIA
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 TechnicianRBT-25-498288CO

General Provider Information

NPI Number : 1093428088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA TACEY GARCIA
Provider Business Mailing Address
First Line : 1480 E CALVADA BLVD STE 900
Second Line :
City : PAHRUMP
State : NV
Zip : 89048-3962
Country : US
Telephone Number : 775-419-7595
Fax Number : 833-939-0185
Provider Business Practice Location Address
First Line : 1480 E CALVADA BLVD STE 900
Second Line :
City : PAHRUMP
State : NV
Zip : 89048-3962
Country : US
Telephone Number : 775-419-7595
Fax Number : 833-939-0185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 12/09/2025

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Directions to “ MELISSA TACEY GARCIA ” Practice Location

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