Provider Demographics
NPI:1922858299
Name:TAPIA, MELANIE JAZMINE (HIGH SCHOOL DIPLOMA)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JAZMINE
Last Name:TAPIA
Suffix:
Gender:F
Credentials:HIGH SCHOOL DIPLOMA
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:JAZMINE
Other - Last Name:TAPIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:686 W K ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3215
Mailing Address - Country:US
Mailing Address - Phone:909-676-3584
Mailing Address - Fax:
Practice Address - Street 1:686 W K ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3215
Practice Address - Country:US
Practice Address - Phone:909-676-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst