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Individual

INGRID GISETH RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
85 FORD AVE, FORDS, NJ 08863-1652
(908) 220-7986
Mailing address
85 FORD AVE, FORDS, NJ 08863-1652

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00037800
NJ
103K00000X
Behavior Analyst

Other

Enumeration date
12/19/2021
Last updated
04/15/2025
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