Dallas Rogers, Molly Jane

Dallas Rogers, Molly Jane is an individual health care provider with primary practice located at 375 Se Broad St , Southern Pines NC 28387-6057. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dallas Rogers, Molly Jane can be contacted via phone (910) 725-0702.

Contact Information

Primary practice address
375 Se Broad St Southern Pines NC 28387-6057
Phone: (910) 725-0702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 314 North Carolina

Profile Details

NPI number 1306362066
LBN Legal business name Dallas Rogers, Molly Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Dec 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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