Individual
DANIELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9130 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213
(704) 559-9865
Mailing address
2474 DUTCH RD, MOUNT PLEASANT, NC 28124-7671
(630) 212-1051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-23612
IL
103K00000X
Behavior Analyst
Primary
1-16-23612
NC
Other
Enumeration date
09/27/2016
Last updated
02/21/2022
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