Individual
REBECA ANDREINA CANONICO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 COUNTRY RIDGE DR, ANTIOCH, TN 37013-1065
(786) 816-4828
Mailing address
3300 COUNTRY RIDGE DR, ANTIOCH, TN 37013-1065
(786) 816-4828
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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