Individual
JOANNA AZENETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD STE 150, LAS VEGAS, NV 89119-5190
(702) 270-3219
(866) 833-2056
Mailing address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
(866) 833-2056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-98274
NV
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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