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NPI Code Detail

MEDICARE: MELINDA CHAVIRA

MEDICARE: MELINDA CHAVIRA
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 Analyst1-19-35885CA

General Provider Information

NPI Number : 1144723826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA CHAVIRA
Provider Business Mailing Address
First Line : 586 E FANTZ AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-5916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1782 E BULLARD AVE STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93710-5868
Country : US
Telephone Number : 559-515-6485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2018
Last Update Date : 05/23/2023

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1376007989 — BRANDY FREELAND
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Directions to “ MELINDA CHAVIRA ” Practice Location

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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.

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