Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 S AMPHLETT BLVD, SAN MATEO, CA 94402-2703
(650) 931-6300
Mailing address
1710 S AMPHLETT BLVD, SAN MATEO, CA 94402-2703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
09/11/2024
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