Individual
MELINDA VANCLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1911 RICHMOND AVE, STATEN ISLAND, NY 10314-3913
(718) 972-0880
Mailing address
177 RAYMOND PL, STATEN ISLAND, NY 10310-2635
(718) 816-4332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1697599
NY
Other
Enumeration date
06/22/2009
Last updated
09/23/2015
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