Individual
EVALIS M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
87 CONCORD ST, NEW BRITAIN, CT 06053-2905
(860) 869-4601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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