Individual
MIA DIANNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 N IMPERIAL AVE STE 2-280, EL CENTRO, CA 92243-1738
(760) 704-7185
Mailing address
920 TINA PADILLA CT, CALEXICO, CA 92231-3460
(760) 704-7185
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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