Molly Jane Dallas Rogers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

314 Issued in NC

Practice address

375 SE Broad St
Southern Pines, NC 28387-6057

Phone

(910) 725-0702

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Center for Autism Services, LLC

  • Behavior Analyst
  • Durham, NC
  • NPI 1912069303
  NPD (past)
• The Carolina Center for ABA & Autism Treatment

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1184027252
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1306362066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7281 BEAVER RUN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145188",
            "telephone_number": "785-643-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SE BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876057",
            "telephone_number": "910-725-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS ROGERS",
        "first_name": "MOLLY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Drake Criswell, D.T.C.M., LIC. AC.
• Lu Anne Cromartie, ANP
• Beverly Moss Crouse, P.T.
• Stacey Cunningham
• Paula Daigle, BA (TEACHER)
• Halyna Dashkevych, PTA
• David L. Williams, M.D., P.a.
• Laura Davies, LCSWA
• Natalie Lucas Davies, M.D.
• Brook Davis

• Behavior Analyst in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.