Lara, Melissa Ann

Lara, Melissa Ann is an sole proprietor health care provider with primary practice located at 406 Mcintosh Ave , Orange Park FL 32073-4834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Lara, Melissa Ann can be contacted via phone (904) 596-9986.

Contact Information

Primary practice address
406 Mcintosh Ave Orange Park FL 32073-4834
Phone: (904) 596-9986
Fax: (904) 596-9988
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH12293 Florida

Profile Details

NPI number 1770899650
LBN Legal business name Lara, Melissa Ann
Credentials LMHC, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2010
Last updated Apr 14th, 2016 - about 9 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.

Request for update

Popular Providers