Individual
ROODLEE Y GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(908) 686-1505
Mailing address
118 MONROE ST, ROSELLE, NJ 07203-1324
(908) 397-9894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-29334
NJ
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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