Individual
MELISSA ANDRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14 RASSMUSSEN PL, MELVILLE, NY 11747-1528
(631) 875-8146
Mailing address
14 RASSMUSSEN PL, MELVILLE, NY 11747-1528
(631) 875-8146
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-03-1217
BEHAVIOR ANALYST CERTIFCATION BOARD
NY
Enumeration date
01/29/2015
Last updated
01/29/2015
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