Individual
BRYAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
701 W KIMBERLY AVE STE 245, PLACENTIA, CA 92870-6345
(714) 203-6595
Mailing address
19661 RIDGEWOOD PL, YORBA LINDA, CA 92886-5632
(714) 793-7839
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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