Individual
VANESSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Mailing address
2617 REYNOLDS PARK RD, WINSTON SALEM, NC 27107-1530
(336) 416-7209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-73869
NC
Other
Enumeration date
12/21/2022
Last updated
08/31/2023
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