Individual
MICHELLE VILLAGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 839-5781
Mailing address
2637 KENNY AVE, MERRICK, NY 11566-4723
(516) 395-1373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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