Individual
AMANDA NICOLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 DALLAS HWY SW, MARIETTA, GA 30064-2541
(678) 486-1904
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59517
GA
2355S0801X
Speech-Language Assistant
SI 2451
FL
Other
Enumeration date
04/24/2017
Last updated
08/18/2022
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