Individual
MISS NICOLE MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1851 OLD CUTHBERT RD, CHERRY HILL, NJ 08034-1415
(856) 631-1223
(484) 320-8307
Mailing address
1449 37TH ST STE 100, BROOKLYN, NY 11218-4381
(718) 215-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52416
NJ
Other
Enumeration date
10/06/2021
Last updated
10/26/2021
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