Melissa D Tavares Polanco
NPI #1083170989 in New Rochelle, New York
Provider Information
- NPI Number
- 1083170989
- Entity Type
- Individual
- Name
- Melissa D Tavares Polanco
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 466 MAIN ST STE LL20
- City
- New Rochelle
- State
- New York
- ZIP Code
- 10801-6431
- Phone
- (646) 666-3086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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