Individual
IVANNA D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35807 16TH AVE S, FEDERAL WAY, WA 98003-7413
(253) 334-4028
Mailing address
35807 16TH AVE S, FEDERAL WAY, WA 98003-7413
(253) 334-4028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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