Individual
MRS. MELISSA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
179 LAKE SHORE DRIVE, LAKE HIAWATHA, NJ 07034
(908) 591-7589
Mailing address
179 LAKE SHORE DRIVE, LAKE HIAWATHA, NJ 07034
(908) 591-7589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6839
CO
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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