Individual
SAMANTHA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NORTH ST, JERSEY CITY, NJ 07307-2550
(646) 897-0001
Mailing address
101 NORTH ST, JERSEY CITY, NJ 07307-2550
(646) 897-0001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42057
NJ
Other
Enumeration date
06/08/2020
Last updated
06/14/2023
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