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Individual
MR. LUIS MANUEL RODRIGUEZ
Active
Individual
MR. LUIS MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-39780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020369900
—
FL
Enumeration date
11/12/2018
Last updated
06/22/2022
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