Individual
MRS. AGNES ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
59 REIFSNYDER RD, ROYERSFORD, PA 19468-1523
(610) 416-6061
Mailing address
59 REIFSNYDER RD, ROYERSFORD, PA 19468-1523
(610) 416-6061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BACB229925
PA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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