Individual
JAELYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 HARBOUR VIEW BLVD STE B, SUFFOLK, VA 23435-2761
(757) 974-8282
Mailing address
PO BOX 411430, BOSTON, MA 02241-1430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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