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NPI Code Detail

MEDICARE: MELISSA FAENZA

MEDICARE:   MELISSA  FAENZA
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
1106S00000XBehavior TechnicianBACB674877FL
2103K00000XBehavior Analyst1-23-63712FL

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 : 1487223772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA FAENZA
Provider Business Mailing Address
First Line : 6000 TURKEY LAKE RD STE 114
Second Line :
City : ORLANDO
State : FL
Zip : 32819-4205
Country : US
Telephone Number : 321-732-3723
Fax Number :
Provider Business Practice Location Address
First Line : 6000 TURKEY LAKE RD STE 114
Second Line :
City : ORLANDO
State : FL
Zip : 32819-4205
Country : US
Telephone Number : 321-732-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 03/10/2026

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Directions to “ MELISSA FAENZA ” Practice Location

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