Susana Esther Rodriguez Ricardo
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1619704954
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1619704954
- Entity type
- Individual (NPI-1)
- Name
- Susana Esther Rodriguez Ricardo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5401 Sw 57th StDavie, FL 33314-7418
Phone 754-274-9130
Mailing address
777 Nw 72nd Ave Ste 1083Miami, FL 33126-3176
Phone 786-490-6307
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