Individual
ROMAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 SUNSET BLVD, WEST COLUMBIA, SC 29169-3042
(864) 757-9918
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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