Individual
MELANIE ALICE CALVACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 43RD AVE APT 1D, WOODSIDE, NY 11377-4864
(347) 664-9513
Mailing address
5815 43RD AVE APT 1D, WOODSIDE, NY 11377-4864
(347) 664-9513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NY
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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