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Individual

BRYAN RODRIGUEZ RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCABA

Contact information

Practice address
907 OUTER RD, ORLANDO, FL 32814-6601
(855) 832-6727
Mailing address
907 OUTER RD, ORLANDO, FL 32814-6601

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11331
FL
106S00000X
Behavior Technician
RBT-18-47924
FL

Other

Enumeration date
12/12/2017
Last updated
09/11/2020
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