Individual
MELINA MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 24TH AVE UNIT 23, BAYSIDE, NY 11360-2219
(347) 321-4094
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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