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Individual

LISSA ERENIA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA-0-23-14414

Contact information

Practice address
2069 SE 12TH ST, HOMESTEAD, FL 33035-1939
(786) 610-8535
(786) 404-3781
Mailing address
2069 SE 12TH ST, HOMESTEAD, FL 33035-1939
(786) 610-8535
(786) 404-3781

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-23-14414
FL
106S00000X
Behavior Technician
RBT-21-174573
FL

Other

Enumeration date
02/09/2022
Last updated
04/02/2026
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