Healthcare Provider Details

I. General information

NPI: 1093003568
Provider Name (Legal Business Name): MELANIE NUNEZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11407 SW 248TH TER
HOMESTEAD FL
33032-3430
US

IV. Provider business mailing address

11407 SW 248TH TER
HOMESTEAD FL
33032-3430
US

V. Phone/Fax

Practice location:
  • Phone: 786-556-9813
  • Fax:
Mailing address:
  • Phone: 305-846-9807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: