Healthcare Provider Details

I. General information

NPI: 1043832462
Provider Name (Legal Business Name): MELODY A ARAUZ BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 SW 128TH CT STE 104
MIAMI FL
33186-4665
US

IV. Provider business mailing address

9419 SW 151ST AVE
MIAMI FL
33196-1219
US

V. Phone/Fax

Practice location:
  • Phone: 786-868-0505
  • Fax:
Mailing address:
  • Phone: 786-498-9035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0102697
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1150679
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: