Individual
REILLY MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 N MAIN ST STE 610, FAIRPORT, NY 14450-1524
(585) 377-1660
Mailing address
70 BRENTWOOD LN, FAIRPORT, NY 14450-2228
(585) 683-8005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
317975864
NY
Other
Enumeration date
02/13/2018
Last updated
03/17/2018
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