Individual
MELISSA GRACE LIN DE LA ROSA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W 59TH ST APT 1911, NEW YORK, NY 10019-0115
(347) 334-1158
Mailing address
635 W 59TH ST APT 1911, NEW YORK, NY 10019-0115
(347) 334-1158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1901445251
NY
Other
Enumeration date
05/27/2025
Last updated
06/03/2025
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