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NPI Code Detail

MEDICARE: MADELENNE NUNEZ RODRIGUEZ

MEDICARE: MADELENNE NUNEZ 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1558219048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELENNE NUNEZ RODRIGUEZ
Provider Business Mailing Address
First Line : 617 NE JUANITA CT
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-1971
Country : US
Telephone Number : 239-628-5760
Fax Number :
Provider Business Practice Location Address
First Line : 617 NE JUANITA CT
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-1971
Country : US
Telephone Number : 239-628-5760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ MADELENNE NUNEZ RODRIGUEZ ” Practice Location

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