Jacqueline Rodriguez
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1336730795
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1336730795
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2021
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1849 N Helm Ave Ste 106Fresno, CA 93727-1624
Phone 805-979-9941
Mailing address
2342 Professional Pkwy Ste 300Santa Maria, CA 93455-6819
Phone 805-979-9941
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