Provider Demographics
NPI:1689430480
Name:PRATT, MELINDA
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MELINDA
Other - Middle Name:DIANN
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUTISM SPECIALIST
Mailing Address - Street 1:16201 WEDD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-7857
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16201 WEDD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-7857
Practice Address - Country:US
Practice Address - Phone:913-306-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
KS103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician