Costello, Melissa

Costello, Melissa is an sole proprietor health care provider with primary practice located at 25 Blackburne Ter , West Orange NJ 07052-3501. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Costello, Melissa can be contacted via phone (973) 886-2267.

Contact Information

Primary practice address
25 Blackburne Ter West Orange NJ 07052-3501
Phone: (973) 886-2267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1497280986
LBN Legal business name Costello, Melissa
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2017
Last updated Apr 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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