Individual
SARA AMANDA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., BCBA
Contact information
Practice address
4142 KEATON CROSSING BLVD, O FALLON, MO 63368-8404
(314) 275-0506
Mailing address
4142 KEATON CROSSING BLVD, O FALLON, MO 63368-8404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21584
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-21584
BCBA CERTIFICATE
—
Enumeration date
07/20/2016
Last updated
11/06/2025
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