Individual
ROILAN ILLAS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-3319
(402) 370-0854
Mailing address
1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/29/2025
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