Provider Demographics
NPI:1538402060
Name:WRIGHT, MELANIE BIANCA (CNA)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:BIANCA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:BIANCA
Other - Last Name:SATTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3930 HOWARD HUGHES PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-0946
Mailing Address - Country:US
Mailing Address - Phone:702-789-5901
Mailing Address - Fax:
Practice Address - Street 1:3930 HOWARD HUGHES PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0946
Practice Address - Country:US
Practice Address - Phone:702-789-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT3677106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician