Individual
CARMELITA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2588 E 98TH N, IDAHO FALLS, ID 83401-5475
(208) 716-1720
(208) 552-9999
Mailing address
2588 E 98TH N, IDAHO FALLS, ID 83401-5475
(208) 716-1720
(208) 552-9999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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