Jennifer Rodriguez
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1003584293
StatusActive
Last updated in NPPESAug 10, 2022
Details
- NPI
- 1003584293
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Aug 10, 2022
- Last updated
- Aug 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone 877-418-2978 · Fax 866-500-2186
Mailing address
3132 Jefferson StSan Diego, CA 92110-4421
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All 3,125 Behavior Technician providers in Stockton · All 11,041 providers in Stockton
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