Individual provider · Type 1 NPI

Bethany Malone

Developmental Therapist · Melbourne, FL

NPI number 1104691104 Active

Practice location

1868 Tullagee Ave
Melbourne, FL 32940-6037

Call (347) 727-8314 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104691104

Bethany Malone's National Provider Identifier is 1104691104, issued on Nov 20, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Melbourne, FL. The record was last updated on Aug 25, 2026.