Individual
JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13440 VENTURA BLVD, SUITE 200, SHERMAN OAKS, CA 91423-3850
(818) 442-0921
Mailing address
6665 RHODES AVE, APT #3, NORTH HOLLYWOOD, CA 91606-1303
(818) 915-9988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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