MEDICARE: MELISSA GARRETT

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144706177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA GARRETT

Provider Business Mailing Address
First Line	:	8834 MORRO RD
Second Line	:
City	:	ATASCADERO
State	:	CA
Zip	:	93422-3953
Country	:	US
Telephone Number	:	805-466-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	8834 MORRO RD
Second Line	:
City	:	ATASCADERO
State	:	CA
Zip	:	93422-3953
Country	:	US
Telephone Number	:	805-466-7827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	04/01/2022

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Directions to “ MELISSA GARRETT ” Practice Location

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