Individual
MS. ANGELIQUE SHANNON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GROTON PL, WEST HEMPSTEAD, NY 11552-1609
(516) 993-8884
Mailing address
175 GROTON PL, WEST HEMPSTEAD, NY 11552-1609
(516) 993-8884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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