Individual
RAVEN ALEXIS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
131 VILLAGE PKWY NE BLDG 4, MARIETTA, GA 30067-4061
(470) 992-3607
(470) 787-2104
Mailing address
3950 COBB PKWY NW STE 106, ACWORTH, GA 30101-9522
(470) 787-2242
(470) 787-2104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11939491
GA
Other
Enumeration date
01/13/2020
Last updated
02/26/2026
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