Individual
MRS. MELISSA SUE HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
405 W 1ST ST, WEST ISLIP, NY 11795-2412
(516) 637-0235
Mailing address
405 W 1ST ST, WEST ISLIP, NY 11795-2412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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