NPI 1104646306

Linda Melanie Treudler

Practitioner Assistant Behavior Analyst Port Jefferson Station, NY

Practice location

Address: 37 Jarvin Rd, Port Jefferson Station, NY 11776-1311
Phone: (631) 680-9323

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 501967041 (NY)

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Registry record

NPI: 1104646306
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2024
Record last updated: 22 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.