Individual
MARINA R MELILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
305 HILLSIDE AVE, WILLISTON PARK, NY 11596-2102
(516) 741-0729
(516) 209-4556
Mailing address
918 MAPLECREST DR, N BELLMORE, NY 11710-1045
(516) 672-0787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001660
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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