| Mel Kids Corp | |
|
209 Mirin Ave Roosevelt NY 11575-1623 | |
| (347) 942-0949 | |
| Not Available |
| Full Name | Mel Kids Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 209 Mirin Ave, Roosevelt, New York |
| Authorized Official Name and Position | Melissa Ellis (PRESIDENT) |
| Authorized Official Contact | 3479420949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mel Kids Corp 209 Mirin Ave Roosevelt NY 11575-1623 Ph: (347) 942-0949 | Mel Kids Corp 209 Mirin Ave Roosevelt NY 11575-1623 Ph: (347) 942-0949 |
| NPI Number | 1316798127 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316798127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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