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NPI Code Detail

MEDICARE: BIANCA RODRIGUEZ

MEDICARE:   BIANCA  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
2103K00000XBehavior Analyst1-24-71952FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598331126
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA RODRIGUEZ
Provider Business Mailing Address
First Line : 1288 BRAMLEY LN
Second Line :
City : DELAND
State : FL
Zip : 32720-0850
Country : US
Telephone Number : 386-450-0011
Fax Number :
Provider Business Practice Location Address
First Line : 1000 COLOUR PLACE STE 101
Second Line :
City : APOPKA
State : FL
Zip : 32703-7753
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 06/10/2026

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Directions to “ BIANCA RODRIGUEZ ” Practice Location

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