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Emmanuel Rodriguez

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

NPI number1447921077
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1447921077
Entity type
Individual (NPI-1)
Name
Emmanuel Rodriguez
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2021
Certification date
Sep 23, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianxxxxxxxCAYes

Practice location

310 E Palmdale Blvd Ste G
Palmdale, CA 93550-7143

Phone 661-258-3211 · Fax 855-568-2494

Mailing address

18726 S Western Ave
Gardena, CA 90248-3813

Phone 310-856-0800 · Fax 855-568-2494

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