Healthcare Provider Details

I. General information

NPI: 1407447311
Provider Name (Legal Business Name): MELISSA ALDERETE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 S SEMORAN BLVD
ORLANDO FL
32807-1461
US

IV. Provider business mailing address

1160 S SEMORAN BLVD
ORLANDO FL
32807-1461
US

V. Phone/Fax

Practice location:
  • Phone: 800-676-5130
  • Fax:
Mailing address:
  • Phone: 800-676-5130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number1-262831539
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: