Provider Demographics
NPI:1902128739
Name:ROSSIG, SCOTT H (BCBA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:H
Last Name:ROSSIG
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2022
Mailing Address - Country:US
Mailing Address - Phone:201-819-3869
Mailing Address - Fax:201-845-6408
Practice Address - Street 1:16 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-2022
Practice Address - Country:US
Practice Address - Phone:201-819-3869
Practice Address - Fax:201-845-6408
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst