Individual
MRS. JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3 WATERFALL CT, BLOOMINGDALE, NJ 07403-1030
(201) 230-7067
Mailing address
3 WATERFALL CT, BLOOMINGDALE, NJ 07403-1030
(201) 230-7067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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