Individual
A'JYANA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1018 24TH AVE NW STE 110, NORMAN, OK 73069-6556
(405) 310-5306
Mailing address
3117 RIDGECREST CT APT 533, NORMAN, OK 73072-7565
(817) 933-9938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-136963
REGISTERED BEHAVIOR TECHNICIAN
OK
Enumeration date
09/24/2020
Last updated
09/24/2020
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