Brennan Paul Melancon
Behavior Technician in Dade City, FL. Individual provider (NPI-1).
NPI number1124831482
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1124831482
- Entity type
- Individual (NPI-1)
- Name
- Brennan Paul Melancon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
15048 14th StDade City, FL 33523-2503
Phone 813-759-3555
Mailing address
9571 Southern Charm CirBrooksville, FL 34613-6831
Phone 813-759-3555
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All 68 Behavior Technician providers in Dade City · All 505 providers in Dade City
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