Individual
ANNA LYN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LMFTA
Contact information
Practice address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(253) 970-2414
Mailing address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(253) 970-2414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60927802
WA
Other
Enumeration date
12/10/2013
Last updated
01/08/2019
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