Roots Family Consulting, Llc

LBN: Roots Family Consulting, Llc
Roots Family Consulting, Llc is an health care organization with primary practice located at 20 Steven Ter , West Orange NJ 07052-2914. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Roots Family Consulting, Llc can be contacted via phone (862) 703-6452, or through Demarco, Mallory via phone (862) 703-6452.

Contact Information

Primary practice address
20 Steven Ter West Orange NJ 07052-2914
Phone: (862) 703-6452
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Demarco, Mallory BCBA
Phone: (862) 703-6452

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1578344685
LBN Legal business name Roots Family Consulting, Llc
DBA Doing business as
Authorized official Demarco, Mallory BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2023
Last updated Oct 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578344685 NPPES
New Jersey Other 1679829279 LISA ZAHARIOUDAKIS, BCBA 1-12-10271

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