Individual
ALEXA TYLAR RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 PROFESSIONAL PKWY STE 150, SANTA MARIA, CA 93455-1635
(805) 608-2830
Mailing address
1215 ROYAL OAK RD, ORCUTT, CA 93455-4331
(805) 363-9610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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