Individual
CHARLEANNE MACKENZI ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
23 CROSBY DR, BEDFORD, MA 01730-1423
(781) 832-3146
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 815-5501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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