Brooke Eileen Rodgers, MED, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60222 Issued in PA

Practice address

11269 Perry Hwy Ste 131-133
Wexford, PA 15090-9388

Phone

(724) 728-8400

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1215519673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092420",
            "telephone_number": "724-728-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11269 PERRY HWY STE 131-133",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909388",
            "telephone_number": "724-728-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "BROOKE",
        "middle_name": "EILEEN",
        "name_prefix": "Miss",
        "credential": "MED, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "BH004700",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-22-60222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Moulton, DMD, PC
• James Alexander Roberts Jr., DMD
• Keerstin Robinson, PT
• Robyn Crouch, LLC (Wexford Counseling Services)
• Aesling Rodgers
• Justine Rodriguez, OT
• Robert Richard Rogers III, DMD
• Brittany Rohr
• Frederick Bruce Rohrs, PHD
• Ashley Nicole Roland, PHARMD

• Behavior Analyst in Wexford, PA
• Providers in Wexford, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.