Individual
MARTHA LILIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11551 FOREST CENTRAL DR STE 129, DALLAS, TX 75243-3969
(214) 802-4460
Mailing address
946 LAWLESS LN, FATE, TX 75087-1099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6261
TX
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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