Tyler Melton
Individual provider Active NPI Behavior Technician · Mims, FL
NPI 1134911530 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1134911530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4110 Pecan St
Mims, FL 32754-2302 - Phone
- (321) 499-5472
- NPI assigned
- May 21, 2025
- 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
4110 Pecan St
Mims, FL 32754-2302
Mailing address
4110 Pecan St
Mims, FL 32754-2302
Phone (321) 499-5472
Other providers in Mims, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. 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.