Individual
AMELIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST BLDG D, COLUMBUS, GA 31901-2246
(706) 641-2462
Mailing address
17 ROSE LN, BOX SPRINGS, GA 31801-5026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
09/03/2024
Last updated
09/12/2024
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