Individual
MS. ALICE ROSE IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 REGENT ST STE 711, LIVINGSTON, NJ 07039-1628
(551) 237-4646
Mailing address
96 FRANKLIN ST, VERONA, NJ 07044-1923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03291991
—
NJ
Enumeration date
10/04/2020
Last updated
07/07/2025
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