Provider Demographics
NPI:1467025064
Name:WEBB, MELINDA (BCBA)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 W BETHEL AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5408
Mailing Address - Country:US
Mailing Address - Phone:765-282-8222
Mailing Address - Fax:765-282-2820
Practice Address - Street 1:114 E STREETER AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-1909
Practice Address - Country:US
Practice Address - Phone:765-587-4895
Practice Address - Fax:765-319-0660
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-12-65964103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst