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Serena Verley Rodriguez

Behavior Technician in San Jose, CA. Individual provider (NPI-1).

NPI number1144934209
StatusActive
Last updated in NPPESJan 12, 2023

Details

NPI
1144934209
Entity type
Individual (NPI-1)
Name
Serena Verley Rodriguez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2023
Certification date
Jan 12, 2023
Last updated
Jan 12, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1887 Monterey Hwy Ste 225
San Jose, CA 95112-6192

Phone 855-223-7123 · Fax 619-374-7134

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 855-223-7123 · Fax 619-374-7134

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in San Jose, CA

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