Individual
BRENNAH ANNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MONROE TPKE STE 210, TRUMBULL, CT 06611-1300
(203) 800-3596
Mailing address
126 MONROE TPKE STE 210, TRUMBULL, CT 06611-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1918
CT
106S00000X
Behavior Technician
RBT-22-238676
CT
Other
Enumeration date
10/23/2023
Last updated
07/09/2024
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