Individual
MS. RASHAMELLA WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19 N 7TH ST, NEWARK, NJ 07107-3286
(973) 432-4894
Mailing address
PO BOX 243, NEWARK, NJ 07101-0243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53855
NJ
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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