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NPI Code Detail

MEDICARE: WARREN ROGERS

MEDICARE: WARREN ROGERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1427853175
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARREN ROGERS
Provider Business Mailing Address
First Line : 224 W 35TH ST STE 500
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2538
Country : US
Telephone Number : 833-646-3222
Fax Number :
Provider Business Practice Location Address
First Line : 2300 ROWE LN UNIT 101
Second Line :
City : PFLUGERVILLE
State : TX
Zip : 78660-8445
Country : US
Telephone Number : 833-646-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/17/2025

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