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Individual

YANILDA CARMEN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4000 SMITHTOWN RD STE 200, SUWANEE, GA 30024-6560
(470) 632-4990
(317) 520-8200
Mailing address
1862 AUBURN RD STE 118-G3, DACULA, GA 30019-1676
(305) 213-9491

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-62874
FL
103K00000X
Behavior Analyst
Primary
1-22-62874
GA

Other

Enumeration date
07/15/2020
Last updated
10/16/2024
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