Individual
MALCOLM ANTHONY MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
385 OAK AVE, RIVERHEAD, NY 11901-4345
(631) 830-2589
Mailing address
385 OAK AVE, RIVERHEAD, NY 11901-4345
(631) 830-2589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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