Jose Manuel Melendez Jr.
Behavior Technician in Worcester, MA. Individual provider (NPI-1).
NPI number1043024136
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1043024136
- Entity type
- Individual (NPI-1)
- Name
- Jose Manuel Melendez Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2025
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
33 Utica DrWorcester, MA 01603-1622
Phone 617-855-1954
Mailing address
33 Utica DrWorcester, MA 01603-1622
Phone 617-855-1954
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