Active NPI
Marina R Melillo, BCBA, LBA
- Behavior Analyst
- Williston Park, NY
National Provider Identifier
1841850708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001660
- Practice address
- 305 Hillside Ave
Williston Park, NY 11596-2102 - Phone
- (516) 741-0729
- Fax
- (516) 209-4556
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 001660 | NY | Primary |
Addresses
Primary practice location
305 Hillside Ave
Williston Park, NY 11596-2102
Mailing address
918 Maplecrest Dr
N Bellmore, NY 11710-1045
Phone (516) 672-0787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001660 | NY | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1841850708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 MAPLECREST DR",
"city": "N BELLMORE",
"state": "NY",
"postal_code": "117101045",
"telephone_number": "516-672-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962102",
"telephone_number": "516-741-0729",
"fax_number": "516-209-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELILLO",
"first_name": "MARINA",
"middle_name": "R",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.