Individual
MELISSA COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
25 BLACKBURNE TER, WEST ORANGE, NJ 07052-3501
(973) 886-2267
Mailing address
25 BLACKBURNE TER, WEST ORANGE, NJ 07052-3501
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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