Individual
MADISON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(785) 213-4942
Mailing address
5518 BITTERN AVE APT B, EWA BEACH, HI 96706-3227
(785) 213-4942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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