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Individual

MELINDA LEE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
218 TRIANON LN, VILLANOVA, PA 19085-1442
(215) 548-9632
Mailing address
1133 STEWARTS WAY, PHILADELPHIA, PA 19154-1650
(267) 825-3198

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/19/2021
Last updated
01/06/2026
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