Individual
JENNIFER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2326 W 68TH ST, HIALEAH, FL 33016-1808
(305) 898-0479
Mailing address
4125 W 11TH CT, HIALEAH, FL 33012-4169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51450
FL
106E00000X
Assistant Behavior Analyst
Primary
0-20-11041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102878800
—
FL
Enumeration date
08/09/2019
Last updated
02/19/2026
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