Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-14-9521 | NJ |
NPI | 1003209511 |
---|---|
Provider Name | Ashley Rallis |
First Address | Robbinsville, NJ 08691-3127 |
Second Address | Robbinsville, NJ 08691-3127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2015 |
Last Update Date | 22/01/2016 |