Active NPI
Melody Millares
- Behavior Technician
- Tavernier, FL
National Provider Identifier
1023770708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-188135
- Practice address
- 93911 Overseas Hwy Ste 8
Tavernier, FL 33070-3025 - Phone
- (305) 479-6843
- NPI assigned
- Oct 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-188135 | FL | Primary |
Addresses
Primary practice location
93911 Overseas Hwy Ste 8
Tavernier, FL 33070-3025
Mailing address
5720 SW 112TH CT
Miami, FL 33173-4909
Phone (305) 479-6843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-188135 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633737600000",
"number": "1023770708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 SW 112TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734909",
"telephone_number": "305-479-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93911 OVERSEAS HWY STE 8",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330703025",
"telephone_number": "305-479-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARES",
"first_name": "MELODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-09",
"last_updated": "2021-10-09",
"certification_date": "2021-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-21-188135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavernier, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.