Stephanie Rodriguez
Behavior Technician in Tracy, CA. Individual provider (NPI-1).
NPI number1982107173
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1982107173
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-46625 | CA | Yes |
Practice location
510 Whispering Wind Dr Ste 110Tracy, CA 95377-8119
Phone 209-572-2589
Mailing address
Po Box 5157Modesto, CA 95352-5157
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