Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 590-2107
Mailing address
6674 PRUE RD APT 11303, SAN ANTONIO, TX 78240-2893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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