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NPI Code Detail

MEDICARE: MELISSA BAEZ-TORRES MS, BCBA

MEDICARE:   MELISSA  BAEZ-TORRES  MS, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-19-38011FL

General Provider Information

NPI Number : 1417404534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BAEZ-TORRES MS, BCBA
Provider Business Mailing Address
First Line : 3456 PINE RIBBON DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-7525
Country : US
Telephone Number : 813-453-0572
Fax Number :
Provider Business Practice Location Address
First Line : 3456 PINE RIBBON DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-7525
Country : US
Telephone Number : 813-453-0572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 04/09/2026

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