Individual
ROSE MARIA DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LABA
Contact information
Practice address
1573 FALL RIVER AVE, SEEKONK, MA 02771-3740
(508) 617-8396
Mailing address
22 CEDAR CREST DR, BRIDGEWATER, MA 02324-1208
(508) 631-6431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2806
MA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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