Katiara M Fallon
Behavior Technician in West Melbourne, FL. Individual provider (NPI-1).
NPI number1508760323
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1508760323
- Entity type
- Individual (NPI-1)
- Name
- Katiara M Fallon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
1912 Dairy RdWest Melbourne, FL 32904-4046
Phone 321-413-3366
Mailing address
3299 Dade Cir NePalm Bay, FL 32905-6020
Phone 321-682-8082
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Behavior Technician providers in West Melbourne · All 403 providers in West Melbourne
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