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Individual

MARIA TERESA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
144 NW 37TH ST, MIAMI, FL 33127-3111
(305) 767-1924
Mailing address
3340 SW 97TH CT, MIAMI, FL 33165-3057
(305) 776-8811

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13581
FL
106S00000X
Behavior Technician
RBT-19-105911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105408400
FL
Enumeration date
12/19/2019
Last updated
06/07/2022
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