| Rotolo Behavioral Support Services LLC | |
|
1230 Armstrong Dr Manteca CA 95336-4115 | |
| (408) 679-1888 | |
| Not Available |
| Full Name | Rotolo Behavioral Support Services LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1230 Armstrong Dr, Manteca, California |
| Authorized Official Name and Position | Ashley Luann Rotolo (OWNER) |
| Authorized Official Contact | 4086791888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rotolo Behavioral Support Services LLC 1230 Armstrong Dr Manteca CA 95336-4115 Ph: (408) 679-1888 | Rotolo Behavioral Support Services LLC 1230 Armstrong Dr Manteca CA 95336-4115 Ph: (408) 679-1888 |
| NPI Number | 1336856632 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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