Individual
SHANA L RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
300 M ST SW # N602, WASHINGTON, DC 20024-4019
(321) 438-6576
Mailing address
300 M ST SW # N602, WASHINGTON, DC 20024-4019
(321) 438-6576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA449
MD
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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