Porfirio, Melissa M

Porfirio, Melissa M is an sole proprietor health care provider with primary practice located at 647 Chesney Dr , Valrico FL 33594-6787. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Porfirio, Melissa M can be contacted via phone (941) 587-3916.

Contact Information

Primary practice address
647 Chesney Dr Valrico FL 33594-6787
Phone: (941) 587-3916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10416 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS1061 Florida

Profile Details

NPI number 1548506116
LBN Legal business name Porfirio, Melissa M
Credentials ED.S, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2012
Last updated Dec 29th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548506116 NPPES
Florida MEDICAID 002 402 300

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