Individual
AMY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST FL 2, WEST HARTFORD, CT 06110-1967
(860) 578-1300
Mailing address
22 LAKESIDE DR, GRANBY, CT 06035-1411
(860) 752-3164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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