Individual
KASSANDRA ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72712
IL
106S00000X
Behavior Technician
RBT-19-77310
IL
106S00000X
Behavior Technician
—
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Other
Enumeration date
01/24/2019
Last updated
05/01/2024
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