Jacob R Rodriguez
Behavior Technician in Hesperia, CA. Individual provider (NPI-1).
NPI number1104714906
StatusActive
Last updated in NPPESJun 27, 2025
Details
- NPI
- 1104714906
- Entity type
- Individual (NPI-1)
- Name
- Jacob R Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2025
- Certification date
- Jun 27, 2025
- Last updated
- Jun 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9464 9th AveHesperia, CA 92345-3483
Phone 442-356-0884
Mailing address
9464 9th AveHesperia, CA 92345-3483
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All 169 Behavior Technician providers in Hesperia · All 1,111 providers in Hesperia
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