Individual
MR. PAUL DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
5624 7TH AVE NW, SEATTLE, WA 98107-2729
(206) 905-4660
Mailing address
24 ROY ST # 434, SEATTLE, WA 98109-4018
(206) 905-4660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CL60134387
WA
103K00000X
Behavior Analyst
Primary
1-09-6411
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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