Gomez, Melanie
Gomez, Melanie is an sole proprietor health care provider with primary practice located at 906 Seminole Dr , Fort Pierce FL 34982-7648. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gomez, Melanie can be contacted via phone (772) 216-2501.Contact Information
Primary practice address
906 Seminole Dr
Fort Pierce FL 34982-7648
Phone: (772) 216-2501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-68319 | Florida |
Profile Details
| NPI number | 1104471952 |
|---|---|
| LBN Legal business name | Gomez, Melanie |
| Credentials | MS, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2019 |
| Last updated | Sep 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104471952 | NPPES |
| Florida | MEDICAID | 103858200 |
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