Individual
ALEXIS JESSICA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 W BEVERLY LN, GLENDALE, AZ 85306-1879
(480) 930-0387
Mailing address
6606 W ROWEL RD, PHOENIX, AZ 85083-1059
(480) 930-5076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001496
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/02/2019
Last updated
09/13/2024
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