Individual provider Active NPI

Kelly M Melo Ballar

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1245022235
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-425769 Issued in FL
Practice address
8831 NW 15TH CT
Pembroke Pines, FL 33024-4726
Phone
(786) 439-4362
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-425769 FL Primary

Addresses

Primary practice location

8831 NW 15TH CT
Pembroke Pines, FL 33024-4726

Mailing address

8831 NW 15TH CT
Pembroke Pines, FL 33024-4726
Phone (786) 439-4362

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

LicenseStateTypeSpecialty
RBT-25-425769FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1245022235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 NW 15TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244726",
            "telephone_number": "786-439-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 NW 15TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244726",
            "telephone_number": "786-439-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO BALLAR",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-425769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.