Individual
ISAAC NATHANIEL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, B.S. PSYCHOLOGY
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Mailing address
281 J ST, SALT LAKE CITY, UT 84103-3013
(435) 729-0703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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