Individual
ALBERT DIETER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3148 NW 134TH ST, OPA LOCKA, FL 33054-4826
(305) 300-3080
Mailing address
3148 NW 134TH ST, OPA LOCKA, FL 33054-4826
(305) 300-3080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-123054
FL
106S00000X
Behavior Technician
Primary
RBT-22-212028
FL
Other
Enumeration date
07/13/2020
Last updated
06/13/2022
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