Individual
MARGARET GAYLE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2303 N AUGUSTA ST STE D, STAUNTON, VA 24401-2597
(540) 447-0031
Mailing address
PO BOX 1352, STAUNTON, VA 24402-1352
(540) 447-0031
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001767
VA
Other
Enumeration date
03/16/2019
Last updated
09/04/2020
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