Individual
ANDREA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 KYLE WOOD LN, BRANDON, FL 33511
(813) 548-1009
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(407) 915-7729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55209
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2018
Last updated
11/18/2021
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