Individual
ELANDRA LACEY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BOBBY FOSTER RD SE UNIT B314, ALBUQUERQUE, NM 87106-9028
(504) 835-4480
Mailing address
2500 BOBBY FOSTER RD SE UNIT B314, ALBUQUERQUE, NM 87106-9028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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