Active NPIIndividual providerSole proprietor

Mrs. Mary Mcclellan, MA SE

Behavior Analyst in Westfield, New Jersey

NPI Number1063789642
Practice location
1 Wychview Dr, Westfield, NJ 07090-1820
Fax
908-789-4703
Last updated
November 26, 2011

Mary Mcclellan is a Behavior Analyst based in Westfield, NJ. Mary Mcclellan practices in Westfield, NJ and has the professional credentials of MA SE. The NPI Number for Mary Mcclellan is 1063789642 and holds a License No. MA SE (NY). The current practice location address for Mary Mcclellan is 1 Wychview Dr, Westfield, NJ 07090-1820 and can be reached out via phone at 908-313-0585 and via fax at 908-789-4703.

Provider Profile Details

NPI Number
1063789642
Provider Name
Mary Mcclellan
Credential
MA SE
Provider Entity Type
Individual
Gender
Female
Address
1 Wychview Dr, Westfield, NJ 07090-1820
Phone Number
908-313-0585
Fax Number
908-789-4703
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2011
Last Update Date
November 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wychview Dr
Westfield, NJ 07090-1820
Zip
07090-1820
Phone Number
908-313-0585
Fax Number
908-789-4703
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
1 Wychview Dr
Westfield, NJ 07090-1820
City
Westfield
State
NJ
Zip
07090-1820
Phone Number
908-313-0585
Fax Number
908-789-4703

License Information

License Number
MA SE
License State
NY
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mary Mcclellan, MA SE?

The NPI number of Mrs. Mary Mcclellan, MA SE is 1063789642. It was assigned on November 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary Mcclellan, MA SE?

Mrs. Mary Mcclellan, MA SE is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number MA SE.

Where does Mrs. Mary Mcclellan, MA SE practice?

The practice location is 1 Wychview Dr, Westfield, NJ 07090-1820. The office can be reached at 908-313-0585 (phone) or 908-789-4703 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063789642 directly on the NPPES registry website.

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