Individual
LARALIN MICHELLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 FOX FIRE CT, DUBLIN, GA 31021-4358
(478) 559-0160
Mailing address
112 FOX FIRE CT, DUBLIN, GA 31021-4358
(478) 559-0160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-319675
GA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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