Individual
STACY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 N FRONTAGE RD STE A, BURR RIDGE, IL 60527-7828
(331) 210-9210
Mailing address
6860 N FRONTAGE RD STE A, BURR RIDGE, IL 60527-7828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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