Melissa Smith
Individual provider Active NPI Behavior Technician · Sorrento, FL
NPI 1124559364 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1124559364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 34119 Alameda Dr
Sorrento, FL 32776-6955 - Phone
- (407) 949-8048
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
34119 Alameda Dr
Sorrento, FL 32776-6955
Mailing address
34119 Alameda Dr
Sorrento, FL 32776-6955
Phone (407) 949-8048
Other names
- Melissa Baxt
Other providers in Sorrento, FL
- R & a Gupta LLC
- Ronald E Holman, DDS,PA
- Rose Elder Care of Sorrento LLC
- Shaping Steps ABA LLC
- Robert Brian Sindler
- Kayla Stanley
- Jessica A Staton
- Niles A. Syska
- The Tooth Shop of Ocala, LLC
- The Tooth Shop on 46
All providers in Sorrento, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.