Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-20-11231 | |
N | 106S00000X | Behavior Technician | RBT-18-48441 | FL |
NPI | 1104349778 |
---|---|
Provider Name | Ms. Melissa Velar |
First Address | Miramar, FL 33023-4718 |
Second Address | Miramar, FL 33023-4718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0-20-11231 | BACB (01) | |
021698100 | (05) | FL |