Melissa Balthazor in Round Rock - Behavior Analyst
Melissa Balthazor - NPI 1821112269
Melissa Balthazor is a Behavior Analyst in Round Rock, Texas. Melissa Balthazor practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Melissa Balthazor is 1821112269. The last update date is 2023-03-23.
Melissa Balthazor's current location address is 12 Chisholm Trail Rd Ste 100, Round Rock, Texas. You can contact this provider via phone number 5123419991 and fax number 5123410019. The mailing address for Melissa Balthazor is 12 Chisholm Trail Rd Ste 100, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Melissa Balthazor |
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Address | 12 Chisholm Trail Rd Ste 100, Round Rock, Texas |
Phone Number | 5123419991 |
Fax Number | 5123410019 |
Sole Proprietor | Y |
Credentials | SLP |
NPI Number Detail
NPI Number | 1821112269 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2023-03-23 |
Provider Mailing Address Detail
Address | 12 Chisholm Trail Rd Ste 100 |
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City | Round Rock |
State | Texas (TX) |
Post Code | 786812506 |
Phone Number | 5123419991 |
Fax Number | 5123410019 |
Provider's Primary Taxonomy Detail
Speciality | Behavior Analyst |
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Taxonomy | 103K00000X |
Licence No | 5728 |
Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
186959604 | TX | -- | |
1869596-04 | TX | -- | |
186959603 | TX | -- |
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What is the unique identifier code issued to Melissa Balthazor by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa Balthazor has been assigned the NPI (National Provider Identifier) 1821112269. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Melissa Balthazor located?
The Melissa Balthazor is located at 12 Chisholm Trail Rd Ste 100, Round Rock, TX 786812506.
What is Melissa Balthazor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melissa Balthazor's specialized field of practice is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of specialization is 103K00000X.
When did Melissa Balthazor receive its 1821112269 assignment?
The Melissa Balthazor was assigned its 1821112269 on 2007-03-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Melissa Balthazor last refreshed?
The information related to the Melissa Balthazor, including its address, specialty, and other relevant details, was last updated on 2023-03-23.