| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA BROOKS | 1629736160 | 2022-05-08 |
Melissa Brooks is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629736160. Registration indicates Melissa Brooks is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Melissa Brooks |
| Practice Office Address | 5798 S SEMORAN BLVD ORLANDO, FL US |
| Practice Office Telephone | 8887540398 |
| Mailing Address | 35 HILLSIDE AVE ORLANDO, FL 328036268 US |
| Business Telephone | 4074437774 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |