Individual
MISS MELISSA M ANGLESEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
15 RIVER RD, A, NUTLEY, NJ 07110-3498
(201) 572-4443
Mailing address
15 RIVER RD, A, NUTLEY, NJ 07110-3498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6793
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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