Individual
JORGE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(860) 357-1523
Mailing address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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