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Individual
LOURDES M RODRIGUEZ
Active
Individual
LOURDES M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017577600
—
FL
01
—
RBT-16-24746
REGISTER BEHAVIOR TECHNICIAN
FL
Enumeration date
10/24/2018
Last updated
10/24/2018
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