Melissa M Anglesea, MA, BCBA
Individual provider Active NPI Behavior Analyst · Nutley, NJ
NPI 1154763159 · NPPES record last updated Jul 19, 2013
Key facts
- NPI
- 1154763159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-10-6793
- Practice address
- 15 River Rd
A
Nutley, NJ 07110-3498 - Phone
- (201) 572-4443
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prism Behavioral Consulting, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-6793 | Yes |
Addresses
Primary practice location
15 River Rd
A
Nutley, NJ 07110-3498
Mailing address
15 River Rd
A
Nutley, NJ 07110-3498
Other providers in Nutley, NJ
- Ambu Trust LLC
- American Diagnostic Imaging of Nutley
- Meha Amin
- Harshapradhaa Amirthajothi
- Robert B Anderson III
- Anthony Califano MD PA
- Anything Is Possible Family Care LLC
- Fred Paul Appelbaum
- Lori M Appelbaum
- Apteka, Inc
All providers in Nutley, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.