Provider Demographics
NPI:1811538952
Name:RODGERS, KARLEE WHITE (BCBA)
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:WHITE
Last Name:RODGERS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 FENWICK VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-8457
Mailing Address - Country:US
Mailing Address - Phone:478-919-0688
Mailing Address - Fax:
Practice Address - Street 1:740 E GENERAL STEWART WAY
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2634
Practice Address - Country:US
Practice Address - Phone:877-321-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst