Individual
AMANDA JO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18490 JOHNSON ST, PEMBROKE PINES, FL 33029-3699
(754) 264-8779
Mailing address
17987 SW 8TH ST, PEMBROKE PINES, FL 33029-4403
(954) 549-0220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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