Melissa D Tavares Polanco
Behavior Technician in New Rochelle, NY. Individual provider (NPI-1).
NPI number1083170989
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1083170989
- Entity type
- Individual (NPI-1)
- Name
- Melissa D Tavares Polanco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2019
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
466 Main St Ste Ll20New Rochelle, NY 10801-6431
Phone 646-666-3086
Mailing address
466 Main St Ste Ll20New Rochelle, NY 10801-6431
Phone 646-666-3086
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