Organization
ROOTS FAMILY CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALLORY DEMARCO BCBA (OWNER)
(862) 703-6452
Entity
Organization
Contact information
Practice address
20 STEVEN TER, WEST ORANGE, NJ 07052-2914
(862) 703-6452
Mailing address
20 STEVEN TER, WEST ORANGE, NJ 07052-2914
(862) 703-6452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679829279
LISA ZAHARIOUDAKIS, BCBA 1-12-10271
NJ
Enumeration date
10/13/2023
Last updated
10/13/2023
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