Provider Demographics
NPI:1699576405
Name:ALVAREZ, MELISSA (RBT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 SW 129TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1840
Mailing Address - Country:US
Mailing Address - Phone:786-646-7302
Mailing Address - Fax:
Practice Address - Street 1:7460 SW 117TH AVE # 7460
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3806
Practice Address - Country:US
Practice Address - Phone:305-521-9556
Practice Address - Fax:305-675-2874
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-365642106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician