Individual
STACEY MARIE ROSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
Mailing address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76345
ID
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2021
Last updated
05/28/2025
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