Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13478 SILVER LN, MORENO VALLEY, CA 92553-4272
(951) 772-4405
Mailing address
13478 SILVER LN, MORENO VALLEY, CA 92553-4272
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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