Individual
MELISSA ANNE DELVAGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LABA
Contact information
Practice address
1831 OCEAN ST, MARSHFIELD, MA 02050-4977
(781) 789-1515
Mailing address
8 ELISHA DR, MIDDLEBORO, MA 02346-3447
(781) 910-3951
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870
LICENSED BEHAVIOR ANALYSIS
MA
Enumeration date
05/08/2018
Last updated
05/08/2018
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