Healthcare Provider Details
I. General information
NPI: 1376479253
Provider Name (Legal Business Name): ROSIE BEHAVIOR
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
778 OLD BARNSTABLE RD
EAST FALMOUTH MA
02536-4936
US
IV. Provider business mailing address
778 OLD BARNSTABLE RD
EAST FALMOUTH MA
02536-4936
US
V. Phone/Fax
- Phone: 508-289-1550
- Fax:
- Phone: 508-289-1550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHLEEN
ROSE
JEFFERS
Title or Position: OWNER AND EXECUTIVE CLINICAL DIRECT
Credential: MAT, BCBA, LABA-MA
Phone: 508-289-1550