| Rogue Aba Texas Llc | |
|
2112 Sw H K Dodgen Loop Ste 183 Temple TX 76504-7014 | |
| (603) 692-8173 | |
| Not Available |
| Full Name | Rogue Aba Texas Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2112 Sw H K Dodgen Loop Ste 183, Temple, Texas |
| Authorized Official Name and Position | Cf True (CEO) |
| Authorized Official Contact | 6036928173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Aba Texas Llc 2112 Sw H K Dodgen Loop Ste 183 Temple TX 76504-7014 Ph: (603) 692-8173 | Rogue Aba Texas Llc 2112 Sw H K Dodgen Loop Ste 183 Temple TX 76504-7014 Ph: (603) 692-8173 |
| NPI Number | 1366285488 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366285488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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