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Individual

MISS MELANIE KUKLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
61 PAQUATUCK AVE, EAST MORICHES, NY 11940-1205
(631) 747-1737
Mailing address
61 PAQUATUCK AVE, EAST MORICHES, NY 11940-1205
(631) 747-1737

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/15/2019
Last updated
12/15/2019
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