Individual
ANGIE DINORA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, BCBA
Contact information
Practice address
20566 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502-7221
(434) 329-9290
Mailing address
28 CAPE HENRY CT, LYNCHBURG, VA 24502-3940
(615) 715-9697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
133004222
VA
106S00000X
Behavior Technician
RBT-21-168180
VA
Other
Enumeration date
05/28/2021
Last updated
05/01/2025
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