Individual
MS. STELLA RODRIGUEZ RICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 W FLAGLER ST STE 258C, MIAMI, FL 33144-6002
(786) 633-5171
(786) 559-9279
Mailing address
14373 SW 96TH LN, MIAMI, FL 33186-8856
(786) 899-3060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110953100
—
FL
Enumeration date
09/12/2016
Last updated
10/06/2021
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