Gary Ray Rodriguez
Behavior Technician in Menifee, CA. Individual provider (NPI-1).
NPI number1982254298
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1982254298
- Entity type
- Individual (NPI-1)
- Name
- Gary Ray Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2019
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
27808 Cloud Dance CtMenifee, CA 92585-9005
Phone 951-443-9704
Mailing address
23811 Washington AveMurrieta, CA 92562-2275
Phone 951-290-1175
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All 307 Behavior Technician providers in Menifee · All 1,172 providers in Menifee
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