Individual
ANGELA TERESE MELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 HALF MILE RD STE 200, RED BANK, NJ 07701-6749
(855) 832-6727
(772) 675-9100
Mailing address
107 NORTHRUP DR, BRICK, NJ 08724-2021
(732) 320-0940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12147894
NJ
Other
Enumeration date
03/12/2021
Last updated
04/23/2021
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