Individual
MS. SUSAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
68 STEVENS AVE, OLD BRIDGE, NJ 08857-2247
(908) 812-0709
(888) 214-9951
Mailing address
68 STEVENS AVE, OLD BRIDGE, NJ 08857-2247
(908) 812-0709
(888) 214-9951
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
541838
NJ
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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