Individual
MELANNIE MAYTE CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(248) 140-4012
Mailing address
15 MOUNT PLEASANT AVE APT 3, WOODLAND PARK, NJ 07424-3139
(201) 554-4944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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