MEDICARE: DORIAN RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		GA

General Provider Information

NPI Number	:	1194659789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIAN RODRIGUEZ

Provider Business Mailing Address
First Line	:	3787 BURNT LEAF LN
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-4322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 ATHENS HWY STE 6, LOGANVILLE, GA 30052
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052
Country	:	US
Telephone Number	:	770-318-2804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1659104933 — BRANDON LAI PA-C
Practice Location Address:

3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112

Practice Phone: 770-554-5009
Practice Fax: 706-546-8792

1093686461 — MS. AMYA B. BECKOM PA-C
Practice Location Address:

3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112

Practice Phone: 770-554-5009
Practice Fax: 706-546-8792

1588335251 — KATELYN NESBIT
Practice Location Address:

3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112

Practice Phone: 770-554-5009
Practice Fax: 706-546-8792

1164354395 — FRANCISCA OGWALA
Practice Location Address:

689 AZALEA BLOOM DR
LOGANVILLE, GA
30052-5740

Practice Phone: 203-218-0831
Practice Fax:

1427765692 — BAO CHIEU HUYNH NGUYEN PHARMD
Practice Location Address:

4753 ATLANTA HWY
LOGANVILLE, GA
30052-7307

Practice Phone: 770-496-7400
Practice Fax:

1679577936 — DR. PONNIE DAVIS POISAL DMD
Practice Location Address:

3973 ATLANTA HWY , STE 100
LOGANVILLE, GA
30052-3750

Practice Phone: 770-466-3114
Practice Fax: 770-466-3777

Directions to “ DORIAN RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.