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NPI Code Detail

MEDICARE: MONIQUE IRENE ROSSELL

MEDICARE: MONIQUE IRENE ROSSELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1629766126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE IRENE ROSSELL
Provider Business Mailing Address
First Line : 32 SADDLE RIDGE TRL
Second Line :
City : ALEXANDRIA
State : KY
Zip : 41001-9111
Country : US
Telephone Number : 559-798-4406
Fax Number :
Provider Business Practice Location Address
First Line : 5505 CHEVIOT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7003
Country : US
Telephone Number : 513-740-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2023
Last Update Date : 04/24/2023

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Directions to “ MONIQUE IRENE ROSSELL ” Practice Location

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