Individual
ANGELA ROKOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
1235 N JAY ST, GRIFFITH, IN 46319-1722
(219) 512-2007
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-18-56121
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-56121
REGISTERED BEHAVIORAL THERAPIST
IN
Enumeration date
01/30/2019
Last updated
01/30/2019
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