Provider Demographics
NPI:1437859436
Name:ROCCA, RANDI (BCBA)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:ROCCA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 SUNSET ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-1628
Mailing Address - Country:US
Mailing Address - Phone:413-441-2292
Mailing Address - Fax:
Practice Address - Street 1:1210 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-9327
Practice Address - Country:US
Practice Address - Phone:413-372-6325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst