Individual
BRENELLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 GOLDEN TRIANGLE BLVD STE 421, FORT WORTH, TX 76244-4673
(817) 717-8584
Mailing address
808 LOMO ST, FORT WORTH, TX 76110-5625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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