Individual
AZANTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6350 RUCKER RD, INDIANAPOLIS, IN 46220-4874
(502) 795-0773
Mailing address
3006 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 795-0773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
03/18/2026
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