Individual
DAVID ORLANDO RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0201
Mailing address
395 WILBRAHAM RD, HAMPDEN, MA 01036-9716
(774) 242-7827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-241976
GA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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