MEDICARE: MELISSA 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	106E00000X	Assistant Behavior Analyst	0178111	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1972951564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA RODRIGUEZ

Provider Business Mailing Address
First Line	:	11100 NW 24TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3645
Country	:	US
Telephone Number	:	786-202-0414
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 NW 24TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3645
Country	:	US
Telephone Number	:	786-202-0414
Fax Number	:

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

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	04/16/2026

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Directions to “ MELISSA RODRIGUEZ ” Practice Location

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