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NPI Code Detail

MEDICARE: MELANIE BENEDIX MS, BCBA

MEDICARE: MELANIE BENEDIX MS, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-68319FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104471952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE BENEDIX MS, BCBA
Provider Business Mailing Address
First Line : 906 SEMINOLE DR
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-7648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2969 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4956
Country : US
Telephone Number : 561-572-6773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 01/08/2026

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