Individual
KATIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
(570) 992-6720
Mailing address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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