Active NPI
Nikolina Cvetkovska
- Behavior Technician
- Melbourne, FL
National Provider Identifier
1124759428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993 - Phone
- (321) 622-8104
- Fax
- (321) 574-4046
- NPI assigned
- Jun 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | IMH29144 | FL |
Addresses
Primary practice location
1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993
Mailing address
1370 Bedford Dr Ste 102
Melbourne, FL 32940-1993
Phone (321) 622-8104
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 |
|---|---|---|---|
| IMH29144 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1124759428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 BEDFORD DR STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401993",
"telephone_number": "321-622-8104",
"fax_number": "321-574-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BEDFORD DR STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401993",
"telephone_number": "321-622-8104",
"fax_number": "321-574-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CVETKOVSKA",
"first_name": "NIKOLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH29144",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.