(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003539206
Provider Name: DOMINIQUE RODRIGUEZ
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 09/22/2022
Last Updated: 09/22/2022
Provider Practice Location
1515 W 190TH ST STE 300
GARDENA
CA
902484925
Practice Location Phone/Fax
Phone: 3108194523
Fax:
Provider Mailing Location
1515 W 190TH ST STE 300
GARDENA
CA
902484925
Provider Mailing Phone/Fax
Phone: 3108194523
Fax: