Active NPIIndividual providerSole proprietor

Mrs. Melissa D Lara, BCBA

Behavior Analyst in Wayne, New Jersey

NPI Number1649722281
Practice location
121 Macdonald Dr, Wayne, NJ 07470-3962
Fax
—
Last updated
October 31, 2016

Melissa Danielle Lara is a Behavior Analyst based in Wayne, NJ. Melissa Danielle Lara practices in Wayne, NJ and has the professional credentials of BCBA. The NPI Number for Melissa Danielle Lara is 1649722281 and holds a License No. 1-15-18638 (NJ). The current practice location address for Melissa Danielle Lara is 121 Macdonald Dr, Wayne, NJ 07470-3962 and can be reached out via phone at 973-460-5199.

Provider Profile Details

NPI Number
1649722281
Provider Name
Melissa Danielle Lara
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
121 Macdonald Dr, Wayne, NJ 07470-3962
Phone Number
973-460-5199
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2016
Last Update Date
October 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Macdonald Dr
Wayne, NJ 07470-3962
City
Wayne
Zip
07470-3962
Phone Number
973-460-5199
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
121 Macdonald Dr
Wayne, NJ 07470-3962
City
Wayne
State
NJ
Zip
07470-3962
Phone Number
973-460-5199

License Information

License Number
1-15-18638
License State
NJ
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa D Lara, BCBA?

The NPI number of Mrs. Melissa D Lara, BCBA is 1649722281. It was assigned on October 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa D Lara, BCBA?

Mrs. Melissa D Lara, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-15-18638.

Where does Mrs. Melissa D Lara, BCBA practice?

The practice location is 121 Macdonald Dr, Wayne, NJ 07470-3962. The office can be reached at 973-460-5199 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649722281 directly on the NPPES registry website.

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