Organization
MEL KIDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ELLIS (PRESIDENT)
(347) 942-0949
Entity
Organization
Contact information
Practice address
209 MIRIN AVE, ROOSEVELT, NY 11575-1623
(347) 942-0949
Mailing address
209 MIRIN AVE, ROOSEVELT, NY 11575-1623
(347) 942-0949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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