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1124519202
SHANTANICE MIA ROGERS
FRANKLIN SQUARE, NY
NPI
1124519202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NY 699369390)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
SHANTANICE MIA ROGERS
1069 HEMPSTEAD TPKE # 1
FRANKLIN SQUARE, NY 11010-2631
Phone number: 914-833-1303
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Mailing Address
SHANTANICE MIA ROGERS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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