Christopher Rodriguez
Behavior Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1962070342
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1962070342
- Entity type
- Individual (NPI-1)
- Name
- Christopher Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2450 Martin Rd # 100Fairfield, CA 94534-1018
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123
Other practice locations
801 Jefferson St
Fairfield, CA 94533-5557
Fairfield, CA 94533-5557
Phone 855-223-7123
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