Individual
ALYSSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6455 S SHORE BLVD STE 400, LEAGUE CITY, TX 77573-5525
(855) 782-7822
Mailing address
6455 S SHORE BLVD STE 400, LEAGUE CITY, TX 77573-5525
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
811041
TX
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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