Individual
GENESIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4934 900 W, STE B, RIVERDALE, UT 84405-8440
(801) 935-4171
Mailing address
325 S ORCHARD DR APT A228, NORTH SALT LAKE, UT 84054-1857
(719) 419-4929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
07/14/2025
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