Individual
DARIELLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QASP-S
Contact information
Practice address
1441 E BROAD ST STE 90, FUQUAY VARINA, NC 27526-1968
(888) 950-8393
Mailing address
1441 E BROAD ST STE 90, FUQUAY VARINA, NC 27526-1968
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
11587
NC
Other
Enumeration date
06/10/2021
Last updated
07/10/2024
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