MR. Dewayne Lavonte Rogers I

NPI #1679119424 in Lunenburg, Massachusetts

Provider Information

NPI Number: 1679119424
Entity Type: Individual
Name: MR. Dewayne Lavonte Rogers I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 26, 2019
Last Updated: Nov 26, 2019

Practice Location

Address: 132 ROBBS HILL RD
City: Lunenburg
State: Massachusetts
ZIP Code: 01462-2167
Phone: (774) 270-1766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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