Melissa Grobler, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45122 Issued in FL

Practice address

911 E Atlantic Blvd Ste 108a
Pompano Beach, FL 33060-7372

Phone

(954) 941-2323

Fax

(561) 909-2068

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reveresco ABA Therapy, LLC

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1790022184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1013514520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E ATLANTIC BLVD STE 108A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607372",
            "telephone_number": "954-941-2323",
            "fax_number": "954-692-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ATLANTIC BLVD STE 108A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607372",
            "telephone_number": "954-941-2323",
            "fax_number": "561-909-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBLER",
        "first_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-45122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Griffin
• Leslie S. Griffin, IMT
• Chelsey Grill
• Joanna Marie Grimes, MD
• Jamie Griswold
• Daniel Grobman, D.O.
• Amber Grogan, AMBER GROGAN
• Steven Groobman, RPH
• Jazmin A. Gross
• Aaron Gabriel Grossman, MD

• Behavior Analyst in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.