Individual
MS. SALLY ANN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 LILIHA ST STE 403, HONOLULU, HI 96817-1605
(888) 657-4456
Mailing address
75 KUAHIWI AVE, WAHIAWA, HI 96786-1905
(530) 941-1913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119065
HI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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