Individual
SAMIYAH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 TERRILL RD, FANWOOD, NJ 07023-1522
(862) 371-5655
Mailing address
469 TERRILL RD, FANWOOD, NJ 07023-1522
(862) 371-5655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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