Individual
GABRIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11225 N 28TH DR STE C202, PHOENIX, AZ 85029-5600
(623) 523-4903
Mailing address
6105 W COCHISE DR, GLENDALE, AZ 85302-1239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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