Individual
BEATRIZ ROSALES FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6107 MONITOR PL APT 2, WEST NEW YORK, NJ 07093-3713
(551) 327-5292
Mailing address
6107 MONITOR PL APT 2, WEST NEW YORK, NJ 07093-3713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-426333
NJ
Other
Enumeration date
04/08/2025
Last updated
04/09/2025
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