Healthcare Provider Details

I. General information

NPI: 1992192223
Provider Name (Legal Business Name): MELISSA SONIA MESSINA M.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 NE STUART ST
JENSEN BEACH FL
34957-6147
US

IV. Provider business mailing address

675 NE STUART ST
JENSEN BEACH FL
34957-6147
US

V. Phone/Fax

Practice location:
  • Phone: 772-333-5426
  • Fax:
Mailing address:
  • Phone: 772-333-5426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-17-8003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: