Individual
PATRICE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
331 HOOPER ST, SOMERSET, NJ 08873-2591
(973) 800-3733
Mailing address
1115 MONROE DR, STEWARTSVILLE, NJ 08886-2633
(973) 800-3733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59747
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-59747
BEHAVIOR ANALYST
—
Enumeration date
07/19/2022
Last updated
07/19/2022
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