Individual
MELISSA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 S BLUEGRASS DR, NAMPA, ID 83686-1381
(208) 440-6809
Mailing address
2516 S BLUEGRASS DR, NAMPA, ID 83686-1381
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
251B00000X
Case Management Agency
1407722705
ID
251S00000X
Community/Behavioral Health Agency
Primary
1407722705
ID
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
1407722705
ID
Other
Enumeration date
10/14/2025
Last updated
05/29/2026
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