Individual
MRS. ERICA SHANNON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
(757) 222-1903
Mailing address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
(757) 222-1903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001099
VA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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