Individual
KILEY ROGGENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
4235 CEDAR SPRINGS RD, DALLAS, TX 75219-2691
(469) 906-6372
Mailing address
2828 WOODSIDE ST APT 3118, DALLAS, TX 75204-3090
(214) 675-4539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38090
TX
Other
Enumeration date
10/01/2019
Last updated
11/27/2023
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