Individual
SARA LUCIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12524 SW 126TH AVE, MIAMI, FL 33186-9037
(059) 244-6633
Mailing address
12524 SW 126TH AVE, MIAMI, FL 33186-9037
(305) 924-4663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020899400
—
FL
Enumeration date
12/19/2017
Last updated
08/05/2024
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