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Individual

AGUSTIN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
173 WINDWATCH DR, HAUPPAUGE, NY 11788-3353
(516) 672-5771
Mailing address
38 SPUR LN, CENTEREACH, NY 11720-2514

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
02/23/2024
Last updated
02/25/2026
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