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NPI Code Detail

MEDICARE: MELISSA EDWARDS BCBA

MEDICARE: MELISSA EDWARDS BCBA
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 Analyst3853NC
2103K00000XBehavior AnalystBH002993PA

General Provider Information

NPI Number : 1982169140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA EDWARDS BCBA
Provider Business Mailing Address
First Line : 2329 E WT HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number : 704-529-9009
Provider Business Practice Location Address
First Line : 2329 E WT HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number : 704-529-9009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2019
Last Update Date : 04/22/2026

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Directions to “ MELISSA EDWARDS BCBA” Practice Location

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