Mcconnell, Malissa

Mcconnell, Malissa is an individual health care provider with primary practice located at 34 Cabin Ln , East Setauket NY 11733-3442. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mcconnell, Malissa can be contacted via phone (631) 871-8629.

Contact Information

Primary practice address
34 Cabin Ln East Setauket NY 11733-3442
Phone: (631) 871-8629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1366818403
LBN Legal business name Mcconnell, Malissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Aug 12th, 2015 - about 11 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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