Dustin Rogers, BA

NPI #1326598673 in Caldwell, Idaho

Provider Information

NPI Number: 1326598673
Entity Type: Individual
Name: Dustin Rogers, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 3402 FRANKLIN RD
City: Caldwell
State: Idaho
ZIP Code: 83605-6932
Phone: (208) 459-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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