Individual
DENISE R RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13661 RIVER BIRCH CT., DYER, IN 46311
(219) 218-8918
Mailing address
13661 RIVER BIRCH CT., DYER, IN 46311
(219) 218-8918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-100052
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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