Patrice Rose Mazza | Passaic, NJ • PECOS Search

Patrice Rose Mazza

Behavior Analyst

Behavioral Health & Social Service Providers

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 933-6633 (201) 207-2938

PECOS Enrollment

Based on the most recent information from CMS, provider Patrice Rose Mazza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1780458737
Provider Type
Individual
Full Name
Mazza, Patrice Rose
Credential
BCBA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/9/2023
Last Updated
11/9/2023

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Mailing Location

85 Main St Apt 48, East Brunswick, NJ 08816-4714

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer