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Individual

MELISSA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11100 NW 24TH ST, CORAL SPRINGS, FL 33065-3645
(786) 202-0414
Mailing address
11100 NW 24TH ST, CORAL SPRINGS, FL 33065-3645
(786) 202-0414

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1262833235
FL
106E00000X
Assistant Behavior Analyst
Primary
0178111
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018013000
FL
Enumeration date
05/24/2016
Last updated
07/27/2026
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