Raven Alexis Rogers, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11939491 Issued in GA

Practice address

131 Village Pkwy NE BLDG 4
Marietta, GA 30067-4061

Phone

(470) 992-3607

Fax

(470) 787-2104

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Boundless Behavioral LLC

  • Behavior Analyst
  • Marietta, GA
  • NPI 1710671748
  NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1720628100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 106",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019522",
            "telephone_number": "470-787-2242",
            "fax_number": "470-787-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 VILLAGE PKWY NE BLDG 4",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674061",
            "telephone_number": "470-992-3607",
            "fax_number": "470-787-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Cobb Pkwy NW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301019522",
            "country_code": "US",
            "telephone_number": "470-787-2242",
            "fax_number": "470-787-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RAVEN",
        "middle_name": "ALEXIS",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "11939491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jermaine Rogers, BCBA
• Erin Rogers, M.S., CCC-SLP
• Gretchen Kelsey Rogers, M.S., CCC-SLP
• Kristin Laine Rogers, PA
• Leah Elizabeth Rogers
• Robert T Rogers, RPH
• Sharon West Rogers, D.MIN
• Tracy Rogers, RBT
• Rohit Khanna & Associates, LLC
• Jayne Rohling, RPH

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.