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Individual

AMANDA ROGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1606 UNION ST, SAN FRANCISCO, CA 94123-4507
(562) 431-9293
Mailing address
200 MARINA DR, SEAL BEACH, CA 90740-6023
(562) 431-9293
(562) 685-0413

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49890
CA

Other

Enumeration date
05/12/2021
Last updated
11/16/2023
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