Individual
SHAMANGLA MYISHA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
662 S CENTER ST, SPARTANBURG, SC 29301-1927
(864) 529-4946
Mailing address
7180 SOUTH KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-317345
SC
106S00000X
Behavior Technician
—
SC
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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