Individual
JOHANNA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N REYNOLDS RD, BRYANT, AR 72022-3024
(479) 879-2308
Mailing address
400 N REYNOLDS RD, BRYANT, AR 72022-3024
(479) 879-2308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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