Individual
MS. JESSICA DAMARIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSED
Contact information
Practice address
60 MADISON AVE FL 8, NEW YORK, NY 10010-1676
(212) 684-0099
Mailing address
2054 CRESCENT ST APT 3A, ASTORIA, NY 11105-3218
(646) 221-8211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2670
NY
Other
Enumeration date
03/07/2012
Last updated
06/23/2015
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