MEDICARE: MELISSA DIAZ RODRIGUEZ

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
1	106S00000X	Behavior Technician	RBT-24-365872	FL
2	106E00000X	Assistant Behavior Analyst	0-26-16834	FL

General Provider Information

NPI Number	:	1437981495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DIAZ RODRIGUEZ

Provider Business Mailing Address
First Line	:	8305 SW 152ND AVE APT A-115
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-4004
Country	:	US
Telephone Number	:	786-398-2804
Fax Number	:

Provider Business Practice Location Address
First Line	:	8305 SW 152ND AVE APT A-115
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-4004
Country	:	US
Telephone Number	:	786-398-2804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	02/05/2026

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Directions to “ MELISSA DIAZ RODRIGUEZ ” Practice Location

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