Organization
ACTIVESTEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA RODRIGUEZ MSW (OWNER)
(949) 290-3085
Entity
Organization
Contact information
Practice address
27758 SANTA MARGARITA PKWY, BOX 101, MISSION VIEJO, CA 92691-6709
(949) 290-3085
Mailing address
27758 SANTA MARGARITA PKWY, BOX 101, MISSION VIEJO, CA 92691-6709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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