Individual
RODRIGO STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4734 217TH ST APT 3C, BAYSIDE, NY 11361-3570
(305) 904-9841
(305) 904-9841
Mailing address
4734 217TH ST, APT 3C, BAYSIDE, NY 11361
(305) 904-9841
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P130414
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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