Individual
CHRISTINE MERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
138 RETFORD AVE, STATEN ISLAND, NY 10312-5515
(718) 313-8280
Mailing address
138 RETFORD AVE, STATEN ISLAND, NY 10312-5515
(718) 313-8280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
821242
NY
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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