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NPI Code Detail

MEDICARE: MELINA MEHTA

MEDICARE:   MELINA  MEHTA
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 : 1134070618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINA MEHTA
Provider Business Mailing Address
First Line : 1230 9TH ST
Second Line :
City : HERMOSA BEACH
State : CA
Zip : 90254-4335
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 830 BUFFALO GROVE RD STE 113
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-3772
Country : US
Telephone Number : 847-409-6215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ MELINA MEHTA ” Practice Location

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