Provider Demographics
NPI:1184501355
Name:GALBAN YERA, MELANIE
Entity type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:
Last Name:GALBAN YERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ROSEPETAL LN # B
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8909
Mailing Address - Country:US
Mailing Address - Phone:386-864-3250
Mailing Address - Fax:
Practice Address - Street 1:9 ROSEPETAL LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8909
Practice Address - Country:US
Practice Address - Phone:386-864-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-458655106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician