Individual
MELISSA RENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
26 DAMIN DR, FARMINGDALE, NY 11735-6408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002221
NY
174400000X
Specialist
—
—
Other
Enumeration date
06/09/2016
Last updated
01/11/2022
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