Active NPI
Melanie M Colon
- Behavior Technician
- Clermont, FL
National Provider Identifier
1104588672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- C450-553-89-714-0
- Practice address
- 2400 US 27
Clermont, FL 34711 - Phone
- (352) 556-8352
- NPI assigned
- Oct 12, 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 | C450-553-89-714-0 | FL | Primary |
Addresses
Primary practice location
2400 US 27
Clermont, FL 34711
Mailing address
1205 Blarney St
Minneola, FL 34715-7637
Phone (352) 988-3744
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1104588672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 BLARNEY ST",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347157637",
"telephone_number": "352-988-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 US 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-556-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "MELANIE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "C450-553-89-714-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
- Jodi Ann Cole
- Billy Coleman, CSFA
- Jasmine Collins
- Ada M Colon-Borrero, M.D
- Lola Colon
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.