Provider Demographics
NPI:1316748817
Name:SANTANA ARIAS, MELISA B
Entity type:Individual
Prefix:
First Name:MELISA
Middle Name:B
Last Name:SANTANA ARIAS
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 1:6748 ROSE DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4839
Mailing Address - Country:US
Mailing Address - Phone:305-494-8451
Mailing Address - Fax:
Practice Address - Street 1:6748 ROSE DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4839
Practice Address - Country:US
Practice Address - Phone:305-494-8451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-420747106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician