Provider Demographics
NPI:1174874606
Name:ALBANO, MELISSA (BGS, BS)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ALBANO
Suffix:
Gender:F
Credentials:BGS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD. MSN 4003
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-5588
Mailing Address - Fax:913-588-5916
Practice Address - Street 1:3901 RAINBOW BLVD. MSN 4003
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-5588
Practice Address - Fax:913-588-5916
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst