MEDICARE: DANIELA 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	RRBT-23-298436	FL

General Provider Information

NPI Number	:	1427811207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA RODRIGUEZ

Provider Business Mailing Address
First Line	:	8915 SW 213TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3830
Country	:	US
Telephone Number	:	786-774-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	8915 SW 213TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3830
Country	:	US
Telephone Number	:	786-774-3777
Fax Number	:

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

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “ DANIELA RODRIGUEZ ” Practice Location

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