Individual
MRS. MARY MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA SE
Contact information
Practice address
1 WYCHVIEW DR, WESTFIELD, NJ 07090-1820
(908) 313-0585
(908) 789-4703
Mailing address
1 WYCHVIEW DR, WESTFIELD, NJ 07090-1820
(908) 313-0585
(908) 789-4703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MA SE
NY
Other
Enumeration date
11/26/2011
Last updated
11/26/2011
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