Individual
LAUREEN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N JACKSON ST, MEDIA, PA 19063-2561
(484) 444-2285
Mailing address
600 N JACKSON ST, MEDIA, PA 19063-2561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004674
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/03/2019
Last updated
01/03/2020
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