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Individual
JUSTIN JACOB RODRIGUEZ
Active
Individual
JUSTIN JACOB RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7787
TX
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-20-115216
—
Other
Enumeration date
09/30/2022
Last updated
12/02/2024
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