Roots Family Consulting, Llc | |
20 Steven Ter West Orange NJ 07052-2914 | |
(862) 703-6452 | |
Not Available |
Full Name | Roots Family Consulting, Llc |
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Speciality | Behavior Analyst |
Location | 20 Steven Ter, West Orange, New Jersey |
Authorized Official Name and Position | Mallory Demarco (OWNER) |
Authorized Official Contact | 8627036452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roots Family Consulting, Llc 20 Steven Ter West Orange NJ 07052-2914 Ph: (862) 703-6452 | Roots Family Consulting, Llc 20 Steven Ter West Orange NJ 07052-2914 Ph: (862) 703-6452 |
NPI Number | 1578344685 |
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Provider Enumeration Date | 10/13/2023 |
Last Update Date | 10/13/2023 |
Certification Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578344685 | NPI | - | NPPES |
1679829279 | Other | NJ | LISA ZAHARIOUDAKIS, BCBA 1-12-10271 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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