Individual
YAHAIRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1163 AMBER LN, HARRISBURG, PA 17111-3102
(718) 790-0539
Mailing address
4541 SEQUOIA DR APT 254, HARRISBURG, PA 17109-5136
(718) 790-0539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
PA
222Q00000X
Developmental Therapist
BH005436
PA
252Y00000X
Early Intervention Provider Agency
6841502
PA
Other
Enumeration date
05/02/2022
Last updated
07/30/2025
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