Individual
ETHAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6761 OLD DECATUR RD, FORT WORTH, TX 76179-4202
(682) 267-2069
Mailing address
6761 OLD DECATUR RD, FORT WORTH, TX 76179-4202
(682) 267-2069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-90954
TX
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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