Individual
CELIA M ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, BCBA
Contact information
Practice address
223 WOOLLEY AVE, STATEN ISLAND, NY 10314-2647
(646) 460-1781
Mailing address
223 WOOLLEY AVE, STATEN ISLAND, NY 10314
(646) 460-1781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
07/16/2015
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