Individual
ALETHIA PERSIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39210 STATE ST, FREMONT, CA 94538-1456
(510) 894-4135
Mailing address
4303 BAINE AVE, FREMONT, CA 94536-4834
(361) 453-1401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
46-1305562
CA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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