MEDICARE: MELISSA JOSHI

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
1	103K00000X	Behavior Analyst	6139	TX

General Provider Information

NPI Number	:	1982487823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JOSHI

Provider Business Mailing Address
First Line	:	5104 SEALANDS LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-8416
Country	:	US
Telephone Number	:	214-549-5280
Fax Number	:	469-779-7133

Provider Business Practice Location Address
First Line	:	8100 LOMO ALTO DR STE 125
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-5897
Country	:	US
Telephone Number	:	214-549-5280
Fax Number	:	469-779-7133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	02/09/2026

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Directions to “ MELISSA JOSHI ” Practice Location

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