Individual
YULISSA ALEXANDRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6125 UNIVERSITY DR NW STE B22, HUNTSVILLE, AL 35806-1765
(850) 866-0441
Mailing address
615 TANGLEWOOD DR, ATHENS, AL 35611-4477
(256) 874-8693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348860
AL
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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