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NPI Code Detail

MEDICARE: MELISSA MOREJON GONZALEZ RBT

MEDICARE:   MELISSA  MOREJON GONZALEZ  RBT
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 TechnicianRBT-23-291328FL

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 : 1740066158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MOREJON GONZALEZ RBT
Provider Business Mailing Address
First Line : 19620 VEDURO CIR APT 111
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-5543
Country : US
Telephone Number : 239-986-7053
Fax Number :
Provider Business Practice Location Address
First Line : 3677 CENTRAL AVE STE H
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8226
Country : US
Telephone Number : 239-373-9186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 02/27/2026

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Directions to “ MELISSA MOREJON GONZALEZ RBT” Practice Location

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