Healthcare Provider Details

I. General information

NPI: 1447030309
Provider Name (Legal Business Name): MELISSA ARIAS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 SW 128TH CT STE 226
MIAMI FL
33186-4674
US

IV. Provider business mailing address

15821 SW 104TH TER APT 303
MIAMI FL
33196-3691
US

V. Phone/Fax

Practice location:
  • Phone: 305-457-5321
  • Fax:
Mailing address:
  • Phone: 305-469-3318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-300552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: