Individual provider · NPI-1
Rosy Gervais
Behavior Technician · Newark, NJ
NPI number1386323608
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1386323608
- Entity type
- Individual (NPI-1)
- Name
- Rosy Gervais
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2023
- Certification date
- Jul 13, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
386 Kerrigan Blvd Fl 1Newark, NJ 07106-2915
Phone 347-662-9477
Mailing address
386 Kerrigan Blvd Fl 1Newark, NJ 07106-2915
Phone 347-662-9477
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