Individual
ALYSSA NICOLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 RIVER RD, HARRIMAN, NY 10926-3021
(845) 863-5208
Mailing address
218 GRANGE RD, OTISVILLE, NY 10963-3112
(646) 382-1199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229552
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2022
Last updated
08/26/2022
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