Olivia Rodriguez
Behavior Technician in San Antonio, TX. Individual provider (NPI-1).
NPI number1093559635
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1093559635
- Entity type
- Individual (NPI-1)
- Name
- Olivia Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2024
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-324890 | TX | Yes |
Practice location
312 Mary StSan Antonio, TX 78214-1529
Phone 210-343-0299
Mailing address
24200 W Interstate 10 Ste 109San Antonio, TX 78257-1150
Phone 210-858-6933
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