Individual
MELESSA MULLADY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1970 52ND ST, BROOKLYN, NY 11204-1731
(718) 360-9548
Mailing address
PO BOX 7, JEFFERSONVILLE, NY 12748-0007
(845) 482-2017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001189-1
NY
Other
Enumeration date
01/10/2017
Last updated
04/27/2026
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