Individual
STACY ROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12891 STATE ROUTE 98, MEADVILLE, PA 16335
(814) 336-2848
Mailing address
12891 STATE ROUTE 98, MEADVILLE, PA 16335
(814) 336-2848
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005458
PA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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