Most Relevant Information
Provider Data
| NPI Number: | 1003378167 |
| Provider Name: | SANDY RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2019 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
2820 W CHARLESTON BLVD STE 22
LAS VEGAS
NV
89102
Practice Location Phone/Fax
| Phone: | 7029007698 |
| Fax: | 7028250791 |
Provider Mailing Location
6130 W TROPICANA AVE STE 145
LAS VEGAS
NV
891034604
Provider Mailing Phone/Fax
| Phone: | 7029007698 |
| Fax: | 7028250791 |