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
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
04/16/2026
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