Provider Demographics
NPI:1740512698
Name:ROSALES, ROCIO (PHD)
Entity type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:
Last Name:ROSALES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 CHESTER DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1582
Mailing Address - Country:US
Mailing Address - Phone:618-303-5126
Mailing Address - Fax:
Practice Address - Street 1:4313 CHESTER DR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-1582
Practice Address - Country:US
Practice Address - Phone:618-303-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst