Most Relevant Information
Provider Data
NPI Number: | 1003407842 |
Provider Name: | AMANDA RODRIGUEZ |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-21-152148 |
Most Important Dates
Enumeration Date: | 02/02/2021 |
Last Updated: | 02/02/2021 |
Provider Practice Location
6520 180TH AVE N
LOXAHATCHEE
FL
334703204
Practice Location Phone/Fax
Phone: | 5613097372 |
Fax: |
Provider Mailing Location
6520 180TH AVE N
LOXAHATCHEE
FL
334703204
Provider Mailing Phone/Fax
Phone: | 5613097372 |
Fax: |