Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melanie Jordan Wall

Individual provider Behavior Technician · NPI 1821859554

Melanie Jordan Wall is a Behavior Technician in Ridgeland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

402B Legacy Park Dr
Ridgeland, MS 39157-4315
Phone: (769) 233-7154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23-273581 (MS)

Record details

NPI number1821859554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address402 Legacy Park Dr, Ridgeland, MS 39157

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