Provider Demographics
NPI:1972329811
Name:ROGERS, JANET I
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ROGERS
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 SYNOTT RD APT 1307
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5243
Mailing Address - Country:US
Mailing Address - Phone:832-207-1492
Mailing Address - Fax:
Practice Address - Street 1:6909 BRISBANE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7145
Practice Address - Country:US
Practice Address - Phone:832-552-1587
Practice Address - Fax:281-201-2631
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-23-314924106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician