Megan Roglin

Individual provider Active NPI Behavior Technician · Aztec, NM

NPI 1366063174 · NPPES record last updated May 4, 2020

Key facts

NPI
1366063174
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27 Road 2396
Aztec, NM 87410-9311
Phone
(505) 269-6297
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27 Road 2396
Aztec, NM 87410-9311

Mailing address

27 Road 2396
Aztec, NM 87410-9311
Phone (505) 269-6297

Other providers in Aztec, NM

All providers in Aztec, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.