Individual
LEANNA MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 TILDEN AVE, TEANECK, NJ 07666-2506
(201) 357-8885
Mailing address
536 TILDEN AVE, TEANECK, NJ 07666-2506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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