Provider Demographics
NPI:1447051594
Name:ALVAREZ, MELANIE SABRINA
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:SABRINA
Last Name:ALVAREZ
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 1:4801 S UNIVERSITY DR STE 130
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3832
Mailing Address - Country:US
Mailing Address - Phone:954-592-8659
Mailing Address - Fax:
Practice Address - Street 1:4801 S UNIVERSITY DR STE 130
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3832
Practice Address - Country:US
Practice Address - Phone:954-592-8659
Practice Address - Fax:954-592-8659
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-420046106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician