Individual
GINA ANITA MENNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3226 IRWIN AVE, BRONX, NY 10463-3705
(917) 325-0590
Mailing address
3226 IRWIN AVE, BRONX, NY 10463-3705
(917) 325-0590
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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