Individual
RACHEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 BELMAR DR W, STATEN ISLAND, NY 10314-5947
(646) 644-9943
Mailing address
80 BELMAR DR W, STATEN ISLAND, NY 10314-5947
(646) 644-9943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004223-01
NY
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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