Individual
ELSIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DEGRAW AVE, TEANECK, NJ 07666-4094
(718) 215-5311
(718) 865-5165
Mailing address
1 DEGRAW AVE, TEANECK, NJ 07666-4094
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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