Melissa Fiallos
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1346853314
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1346853314
- Entity type
- Individual (NPI-1)
- Name
- Melissa Fiallos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
Mailing address
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
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