Individual provider Active NPI

Melissa Velar, EDD, BCBA

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1104349778
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-71406
Practice address
12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499
Phone
(888) 754-0398
Fax
(954) 866-5513
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-20-11231
Behavior Analyst 103K00000X 1-24-71406 Primary
Behavior Technician 106S00000X RBT-18-48441 FL

Addresses

Primary practice location

12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499

Mailing address

2510 Cesery Blvd
Jacksonville, FL 32211-3811
Phone (786) 857-7356

Other identifiers 1

IdentifierTypeStateIssuer
021698100MedicaidFL

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-18-48441FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lolly Therapeutics, LLC Behavior Analyst PastSince Nov 3, 2024 Accepting new patients
Integrative Therapy Concepts PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1104349778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113811",
            "telephone_number": "786-857-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12735 GRAN BAY PKWY W STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584499",
            "telephone_number": "888-754-0398",
            "fax_number": "954-866-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAR",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "EDD, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-20-11231",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-71406",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-48441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021698100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.