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NPI Code Detail

MEDICARE: MELODY LEWIS

MEDICARE:   MELODY  LEWIS
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 : 1588507339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY LEWIS
Provider Business Mailing Address
First Line : 1716 WARWICK WAY
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53406-4331
Country : US
Telephone Number : 224-440-7645
Fax Number :
Provider Business Practice Location Address
First Line : 2603 W RAWSON AVE STE 132
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-8422
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MELODY LEWIS ” Practice Location

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