Provider Demographics
NPI:1720964034
Name:THOMAS, MELONEE FALAN
Entity type:Individual
Prefix:
First Name:MELONEE
Middle Name:FALAN
Last Name:THOMAS
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 1:1255 E CITRUS AVE APT 73
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-5358
Mailing Address - Country:US
Mailing Address - Phone:323-598-4433
Mailing Address - Fax:
Practice Address - Street 1:1255 E CITRUS AVE APT 73
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-5358
Practice Address - Country:US
Practice Address - Phone:323-598-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician