Individual
LISANDRA RODRIGUEZ OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2843 FLETCHER ST, HOLLYWOOD, FL 33020-5641
(954) 439-3539
Mailing address
2843 FLETCHER ST, HOLLYWOOD, FL 33020-5641
(954) 439-3539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-25-417500
FL
2355S0801X
Speech-Language Assistant
Primary
SI7834
FL
Other
Enumeration date
03/13/2025
Last updated
10/09/2025
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