Individual
MALKA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 WHITE DOVE CT, LAKEWOOD, NJ 08701-5167
(929) 327-0820
Mailing address
1 WHITE DOVE CT, LAKEWOOD, NJ 08701-5167
(929) 327-0820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70750
NJ
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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