Individual
JUSTIN JACOB RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5425 W SPRING CREEK PKWY STE 280, PLANO, TX 75024-4321
(844) 272-7223
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
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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