Individual
ALEXIS RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2873 EXECUTIVE PARK DR, WESTON, FL 33331-3603
(754) 812-8700
(001) 000-0000
Mailing address
5711 SW 195TH TER, SOUTHWEST RANCHES, FL 33332-1237
(954) 614-5670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144422
FL
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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