Provider Demographics
NPI:1386150399
Name:NARANJO, MELINDA JOYCE (BCBA)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOYCE
Last Name:NARANJO
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 1:6150 ALMA RD APT 2467
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7341
Mailing Address - Country:US
Mailing Address - Phone:760-708-2198
Mailing Address - Fax:
Practice Address - Street 1:2841 HYPOINT AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-5322
Practice Address - Country:US
Practice Address - Phone:760-802-3686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-17-36162106S00000X
CA12156395103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician