Individual
MOLLY JANE DALLAS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 SE BROAD ST, SOUTHERN PINES, NC 28387-6057
(910) 725-0702
Mailing address
7281 BEAVER RUN DR, FAYETTEVILLE, NC 28314-5188
(785) 643-3202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
314
NC
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/15/2017
Last updated
12/21/2023
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