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Omar Alonso Rodriguez

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

NPI number1982202909
StatusActive
Last updated in NPPESDec 5, 2022

Details

NPI
1982202909
Entity type
Individual (NPI-1)
Name
Omar Alonso Rodriguez
Sex
Male
Sole proprietor
No
Enumeration date
Oct 12, 2020
Certification date
Dec 5, 2022
Last updated
Dec 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
103K00000X Behavior AnalystRBT-19-107067AZ

Practice location

73271 Fred Waring Dr
Palm Desert, CA 92260-2883

Phone 760-469-9650

Mailing address

73271 Fred Waring Dr
Palm Desert, CA 92260-2883

Phone 760-469-9650

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