Individual
BORIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3365 WYNN RD STE A, LAS VEGAS, NV 89102-8202
(702) 331-3845
Mailing address
3365 WYNN RD STE A, LAS VEGAS, NV 89102-8202
(702) 331-3845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
—
—
246Z00000X
Other Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
247200000X
Other Technician
—
—
2472E0500X
EEG Technician
—
—
374700000X
Technician
—
—
Other
Enumeration date
10/28/2019
Last updated
10/11/2023
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