Individual
BRENNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603A S MAIN ST, MILPITAS, CA 95035-6261
(408) 824-8328
Mailing address
1603A S MAIN ST, MILPITAS, CA 95035-6261
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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