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NPI Code Detail

MEDICARE: MELISSA TEJEDA HECHAVARRIA

MEDICARE: MELISSA TEJEDA HECHAVARRIA
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 : 1609734078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA TEJEDA HECHAVARRIA
Provider Business Mailing Address
First Line : 5050 TAMARUS ST APT 178
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 S RANCHO DR STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4849
Country : US
Telephone Number : 702-929-0459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ MELISSA TEJEDA HECHAVARRIA ” Practice Location

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