Tangney, Melissa

Tangney, Melissa is an individual health care provider with primary practice located at 2305 Broadway St , Boulder CO 80304-4106. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tangney, Melissa can be contacted via phone (303) 219-8092.

Contact Information

Primary practice address
2305 Broadway St Boulder CO 80304-4106
Phone: (303) 219-8092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1083221873
LBN Legal business name Tangney, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2020
Last updated Sep 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083221873 NPPES
Colorado Other RBT-20-136755 BACB

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