Individual
JACQUELYNN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 453-6800
Mailing address
214 BLOSSOM ST, FITCHBURG, MA 01420-3305
(978) 340-3396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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