Individual
SARA MANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 WOODLAWN AVE, SAINT JAMES, NY 11780-2526
(631) 332-2977
Mailing address
299 WOODLAWN AVE, SAINT JAMES, NY 11780-2526
(631) 332-2977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
500216111
NY
103K00000X
Behavior Analyst
500217111
NY
103K00000X
Behavior Analyst
Primary
511405111
NY
103K00000X
Behavior Analyst
511406111
NY
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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