Provider Demographics
NPI:1831912468
Name:ROGERS, WHITNEY BRIANN (RBT)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:BRIANN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 BAKER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PINE
Mailing Address - State:TN
Mailing Address - Zip Code:37890-3400
Mailing Address - Country:US
Mailing Address - Phone:865-712-7044
Mailing Address - Fax:
Practice Address - Street 1:3560 BAKER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890-3400
Practice Address - Country:US
Practice Address - Phone:865-712-7044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-24-390195106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician