Individual
JEREMY ANTHONY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED., BCBA
Contact information
Practice address
7400 BLANCO RD STE 115, SAN ANTONIO, TX 78216-4361
(210) 657-7400
(888) 977-1704
Mailing address
17515 JUAN CANTU DR, ELMENDORF, TX 78112-5522
(210) 789-5905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2489
TX
Other
Enumeration date
10/02/2018
Last updated
10/03/2019
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