Individual
MICHAEL BERNARD ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA,LBS
Contact information
Practice address
4601 MARKET ST, PHILADELPHIA, PA 19139-4636
(215) 878-3400
(267) 531-0005
Mailing address
2016 GERRITT ST, PHILADELPHIA, PA 19146-4518
(814) 659-9800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006416
PA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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