Individual
JENNIFER MELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 LEE PL, SUITE 2, BELLMORE, NY 11710-5037
(646) 327-2723
Mailing address
28 JOHN DR, OLD BETHPAGE, NY 11804-1541
(516) 318-6178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
771803131
NY
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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