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Individual

MRS. LISA CHRISTINE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
2040 RAYBROOK ST SE STE 300, GRAND RAPIDS, MI 49546-7718
(801) 251-6148
(162) 856-0636
Mailing address
7676 STEELE AVE, JENISON, MI 49428-7981
(616) 322-8456

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001039
MI

Other

Enumeration date
01/27/2020
Last updated
01/17/2023
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