Individual
MELISSA DE GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
101 E GATE DR, CHERRY HILL, NJ 08034-2803
(856) 810-7599
Mailing address
101 E GATE DR, CHERRY HILL, NJ 08034-2803
(856) 810-7599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-21-12188
NJ
103K00000X
Behavior Analyst
Primary
1-25-79006
—
Other
Enumeration date
06/28/2021
Last updated
02/05/2025
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