Individual
ELLIE-AHNA ROSENWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 833-3723
Mailing address
131 FOREST PARK CIR, LAKEWOOD, NJ 08701-5143
(848) 525-6961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00159700
NJ
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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