Healthcare Provider Details

I. General information

NPI: 1942903711
Provider Name (Legal Business Name): MELANI NAVARRO LEYVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 PONCE DE LEON BLVD
BROOKSVILLE FL
34601-1903
US

IV. Provider business mailing address

11465 RIDDLE DR
SPRING HILL FL
34609-3446
US

V. Phone/Fax

Practice location:
  • Phone: 305-343-8991
  • Fax:
Mailing address:
  • Phone: 305-343-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-24-15678
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2840244
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-262731
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: