Individual
MINDY ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
402 MELVILLE AVE, LAKEWOOD, NJ 08701-4870
(732) 606-7700
Mailing address
402 MELVILLE AVE, LAKEWOOD, NJ 08701-4870
(732) 606-7700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12208
NJ
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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