Individual
MEGAN ROSE SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6 MARVIN DR, KINGS PARK, NY 11754-4734
(631) 655-7154
Mailing address
6 MARVIN DR, KINGS PARK, NY 11754-4734
(631) 655-7154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004169
NY
106S00000X
Behavior Technician
20-118019
NY
Other
Enumeration date
08/07/2024
Last updated
04/01/2025
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