Individual
MEGAN MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 N MAIN ST, FAIRPORT, NY 14450-1524
(585) 377-6590
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00001071
NY
106S00000X
Behavior Technician
RBT-15-08269
NY
Other
Enumeration date
01/30/2018
Last updated
03/17/2018
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