Ivette G Rodriguez
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1104513613
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1104513613
- Entity type
- Individual (NPI-1)
- Name
- Ivette G Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9620 Chesapeake Dr Ste 105San Diego, CA 92123-1324
Phone 760-550-3836
Mailing address
9620 Chesapeake Dr Ste 105San Diego, CA 92123-1324
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