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NPI Code Detail

MEDICARE: MELINDA JACQUELINE SCHELLENBERG

MEDICARE:   MELINDA JACQUELINE SCHELLENBERG
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 : 1093656258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA JACQUELINE SCHELLENBERG
Provider Business Mailing Address
First Line : 818 NORTH BLVD
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 1ST AVE NE
Second Line :
City : AUSTIN
State : MN
Zip : 55912-4502
Country : US
Telephone Number : 507-292-1006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “ MELINDA JACQUELINE SCHELLENBERG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.