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Individual
IVELYN GUERRA RODRIGUEZ
Active
Individual
IVELYN GUERRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21-159043
FL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110625000
—
FL
Enumeration date
07/02/2021
Last updated
08/26/2021
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