Individual
ALI JOSUE MIJARES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11229 MADISON PARK DR, TAMPA, FL 33625-3996
(850) 485-2928
Mailing address
11229 MADISON PARK DR # 11229, TAMPA, FL 33625-3996
(850) 845-2928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26514686
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
05/01/2026
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