Provider Demographics
NPI:1679178388
Name:LEONE, MELANIE ELIZABETH
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ELIZABETH
Last Name:LEONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SITTING BULL LN
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-1900
Mailing Address - Country:US
Mailing Address - Phone:215-738-5080
Mailing Address - Fax:
Practice Address - Street 1:606 ALLENDE BND
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-4080
Practice Address - Country:US
Practice Address - Phone:806-395-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
SC1-20-45350103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst