Healthcare Provider Details

I. General information

NPI: 1033032925
Provider Name (Legal Business Name): MELINDA ANN CARTER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301A W PALMETTO PARK RD
BOCA RATON FL
33433-3409
US

IV. Provider business mailing address

4724 NW 5TH AVE
DEERFIELD BEACH FL
33064-2563
US

V. Phone/Fax

Practice location:
  • Phone: 954-248-1171
  • Fax:
Mailing address:
  • Phone: 954-248-1171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberC636541817580
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: