Provider Demographics
NPI:1881081768
Name:ROGERS, JANET (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SMARTTS LN NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6608
Mailing Address - Country:US
Mailing Address - Phone:703-309-5295
Mailing Address - Fax:
Practice Address - Street 1:605 SMARTTS LN NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-6608
Practice Address - Country:US
Practice Address - Phone:703-309-5295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-18
Last Update Date:2015-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000552103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst