Melissa /Molloy
Behavior Analyst in Massapequa, NY. Individual provider (NPI-1).
NPI number1356713762
StatusActive
Last updated in NPPESOct 25, 2015
Details
- NPI
- 1356713762
- Entity type
- Individual (NPI-1)
- Name
- Melissa /Molloy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2015
- Last updated
- Oct 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
25 Thorne AveMassapequa, NY 11758-1943
Phone 516-455-6293
Mailing address
25 Thorne AveMassapequa, NY 11758-1943
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