National Provider Identifier
Melissa P Madonna
Melissa P Madonna is listed in the NPPES registry with a primary specialty of Behavior Technician in Penfield, NY and a listed phone number of (818) 241-6780.
Profile Overview
- NPI
- 1588258453
- Provider Type
- Individual
- Primary Specialty
- Behavior Technician
- Enumeration Date
- February 22, 2021
- Last Updated
- February 22, 2021
Practice Location
- 2025 Penfield RD
- Penfield, NY 14526-1778
Phone: (818) 241-6780
Mailing Address
- 1055 E Colorado Blvd Ste 560
- Pasadena, CA 91106-2380
Specialties
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1588258453
- Entity Type
- Individual
- Last Name
- Madonna
- First Name
- Melissa
- Middle Name
- P
- Mailing Street Address
- 1055 E Colorado Blvd Ste 560
- Mailing City
- Pasadena
- Mailing State
- CA
- Mailing ZIP Code
- 91106-2380
- Mailing Country
- US
- Mailing Phone
- (818) 241-6780
- Mailing Fax
- (818) 241-6853
- Practice Street Address
- 2025 Penfield RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1778
- Practice Country
- US
- Practice Phone
- (818) 241-6780
- Enumeration Date
- February 22, 2021
- Last Updated
- February 22, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Technician (106S00000X)