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General NPI Number Information
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NPI Number | 1104349778
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Entity Type | Individual
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Provider Name | MELISSA VELAR MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 134 INFIELD CT
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City | MOORESVILLE
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State | NC
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Zip | 28117
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Country | US
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Telephone | 704-799-6824
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Fax | 704-799-6825
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Provider Business Mailing Address
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Address Line | 11659 SPRING BOARD DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7575
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Country | US
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Telephone | 786-857-7356
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-20-11231
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-18-48441
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-71406
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License Number State |
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