Individual
RYAN MATEO CHAILLET GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(908) 588-7500
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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