Individual
ALYSHA DEVON RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1205 W MAIN ST, MARION, IL 62959-1137
(877) 467-3123
(618) 681-6824
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75857
IL
Other
Enumeration date
06/27/2023
Last updated
10/02/2024
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