Provider Demographics
NPI:1447043096
Name:ROOP-MELTON, BRYANA
Entity type:Individual
Prefix:
First Name:BRYANA
Middle Name:
Last Name:ROOP-MELTON
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 1:3329 SE 22ND ST
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-1539
Mailing Address - Country:US
Mailing Address - Phone:405-830-3911
Mailing Address - Fax:
Practice Address - Street 1:3329 SE 22ND ST
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-1539
Practice Address - Country:US
Practice Address - Phone:405-830-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician