Lauren Rogers
Individual provider Active NPI Behavior Technician · Dinwiddie, VA
NPI 1124637798 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1124637798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-20-129508 (VA)
- Practice address
- 12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454 - Phone
- (866) 565-7222
- Fax
- (877) 734-1914
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-129508 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City ABA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-129508 | VA | Yes |
Addresses
Primary practice location
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Mailing address
2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (866) 565-7222
Other providers in Dinwiddie, VA
- Jamara Leemonoe Nelson
- Hyo Kwon Park
- Judith Rebecca Perkins
- Brandy Wilson Perkinson
- Pioneer Personal Care , Inc.
- Kenyatta Lawodo Rook
- Ralph D Ruffin Sr.
- Amanda Russell
- Anna Michelle Sasala
- Southern Dominion Health System, Inc.
All providers in Dinwiddie, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.