Individual
ANA CAREN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W WILLIAMS ST, KANKAKEE, IL 60901-2340
(815) 618-5019
Mailing address
350 W WILLIAMS ST, KANKAKEE, IL 60901-2340
(815) 618-5019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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