Individual
MISS MIRIAM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COMMONWEALTH AVE, SPRINGFIELD, MA 01108-2787
(413) 732-7489
Mailing address
100 COMMONWEALTH AVE, SPRINGFIELD, MA 01108-2787
(413) 732-7489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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