Individual
MELANY ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TERRI LN, BURLINGTON, NJ 08016-4906
(856) 524-7250
Mailing address
126 W NICHOLSON RD UNIT A, AUDUBON, NJ 08106-1457
(856) 357-6527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33989
NJ
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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