Provider Demographics
NPI:1154119378
Name:SAEZ GUERRA, MELANY
Entity type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:SAEZ GUERRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15051 SW 103RD LN APT 4111
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3776
Mailing Address - Country:US
Mailing Address - Phone:786-593-3939
Mailing Address - Fax:
Practice Address - Street 1:15051 SW 103RD LN APT 4111
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3776
Practice Address - Country:US
Practice Address - Phone:786-593-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-431029106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician