Most Relevant Information
Provider Data
| NPI Number: | 1003693623 |
| Provider Name: | KATELYNN MARIE RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2023 |
| Last Updated: | 09/08/2023 |
Provider Practice Location
560 E HOSPITALITY LN STE 400
SAN BERNARDINO
CA
924083545
Practice Location Phone/Fax
| Phone: | 9096774000 |
| Fax: |
Provider Mailing Location
14548 HEATHERDALE CT
ADELANTO
CA
923014889
Provider Mailing Phone/Fax
| Phone: | 4423448526 |
| Fax: |