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NPI Code Detail

MEDICARE: MELISSA HODGEMAN

MEDICARE: MELISSA HODGEMAN
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 : 1225745599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HODGEMAN
Provider Business Mailing Address
First Line : 224 W 35TH ST STE 500
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2538
Country : US
Telephone Number : 833-646-3222
Fax Number :
Provider Business Practice Location Address
First Line : 1090 W CAMPBELL RD STE 300
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2995
Country : US
Telephone Number : 833-646-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2022
Last Update Date : 11/04/2022

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Directions to “ MELISSA HODGEMAN ” Practice Location

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