MEDICARE: MR. ANDRE DAVION RODGERS RBT

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1235815952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDRE DAVION RODGERS RBT

Provider Business Mailing Address
First Line	:	5603 HALVERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1730
Country	:	US
Telephone Number	:	323-214-6453
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 VILLAGE CENTER CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6438
Country	:	US
Telephone Number	:	702-766-9840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	06/27/2023

Similar Medicare Providers

1932025095 — OTTO BERNABEL GARCIA
Practice Location Address:

1707 VILLAGE CENTER CIR STE 89134
LAS VEGAS, NV
89134-6438

Practice Phone: 702-766-9840
Practice Fax:

1477108116 — SALLYANN ADA FICARROTTA BCBA, LBA
Practice Location Address:

1707 VILLAGE CENTER CIR
LAS VEGAS, NV
89134-6438

Practice Phone: 702-766-9840
Practice Fax:

1851119671 — JANET ARMKNECHT
Practice Location Address:

1707 VILLAGE CENTER CIR
LAS VEGAS, NV
89134-6438

Practice Phone: 702-768-5796
Practice Fax:

1942029756 — MISS GUADALUPE MEJIA
Practice Location Address:

1707 VILLAGE CENTER CIR
LAS VEGAS, NV
89134-6438

Practice Phone: 702-766-9840
Practice Fax:

1780561654 — GWENDOLYN HARRIS-HABERSHAM
Practice Location Address:

1707 VILLAGE CENTER CIR
LAS VEGAS, NV
89134-6438

Practice Phone: 702-766-9840
Practice Fax:

1699909077 — MEADOWS HOME HEALTH SERVICES, LLC.
Practice Location Address:

6438 S TENAYA WAY , SUITE 120
LAS VEGAS, NV
89113-6651

Practice Phone: 702-405-4415
Practice Fax: 702-405-4411

Directions to “ MR. ANDRE DAVION RODGERS RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.