Individual
MARLENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5419 CENTURION CT UNIT 101, LAS VEGAS, NV 89122-0211
(702) 701-4744
Mailing address
5419 CENTURION CT UNIT 101, LAS VEGAS, NV 89122-0211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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