Individual
ALEXANDR ROGOLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1031
(317) 436-7080
Mailing address
190 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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