Individual
LOURDES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
15769 SW 74TH ST, MIAMI, FL 33193-3318
(305) 773-3179
Mailing address
15769 SW 74TH ST, MIAMI, FL 33193-3318
(305) 773-3179
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10475
FL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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