Individual
AUDREY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
17462 COLIMA RD, ROWLAND HEIGHTS, CA 91748-1633
(855) 223-7123
(619) 374-7134
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31387
CA
Other
Enumeration date
07/10/2018
Last updated
07/16/2021
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