Individual
ADRIANNA REYES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 984-8655
Mailing address
4200 PERIWINKLE DR, FORT WORTH, TX 76137-1197
(817) 938-9358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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