MEDICARE: ALEXIA 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	RBT-25-444055	FL

General Provider Information

NPI Number	:	1518822501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIA RODRIGUEZ

Provider Business Mailing Address
First Line	:	281 SW 178TH WAY
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-3909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11011 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1505
Country	:	US
Telephone Number	:	954-552-6668
Fax Number	:

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

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/23/2025

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