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NPI Code Detail

MEDICARE: MELISSA ANNE REILLY BCBA

MEDICARE:   MELISSA ANNE REILLY  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-13-13685NJ

General Provider Information

NPI Number : 1891136172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANNE REILLY BCBA
Provider Business Mailing Address
First Line : 1 BETHANY RD STE 92
Second Line :
City : HAZLET
State : NJ
Zip : 07730-1669
Country : US
Telephone Number : 855-500-3848
Fax Number : 855-500-3848
Provider Business Practice Location Address
First Line : 1 BETHANY RD STE 92
Second Line :
City : HAZLET
State : NJ
Zip : 07730-1669
Country : US
Telephone Number : 855-500-3848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 12/14/2023

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Directions to “ MELISSA ANNE REILLY BCBA” Practice Location

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