Individual
MELISSA A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(646) 839-5781
Mailing address
41 BROOK ST, SAYVILLE, NY 11782-2617
(561) 513-3915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
12/20/2021
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