Individual
MABEL IVANNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 MAMARONECK AVE STE 150, WHITE PLAINS, NY 10605-5222
(914) 328-2868
Mailing address
22 S WEST ST APT 1112, MOUNT VERNON, NY 10550-2148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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