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Taytum Rogers

Behavior Technician in Gulfport, MS. Individual provider (NPI-1).

NPI number1053141010
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1053141010
Entity type
Individual (NPI-1)
Name
Taytum Rogers
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2024
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9480 Three Rivers Rd
Gulfport, MS 39503-4248

Phone 251-648-4346

Mailing address

9480 Three Rivers Rd
Gulfport, MS 39503-4248

Phone 251-648-4346

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