Individual
DANYELLE LAUYREN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12911 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0907
(407) 915-7729
Mailing address
300 INTERNATIONAL PARKWAY, SUITE 200, LAKE MARY, FL 32746
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2019
Last updated
10/24/2023
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