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NPI Code Detail

MEDICARE: MS. AMY KATHLEEN RODRIQUEZ BCBA

MEDICARE: MS. AMY KATHLEEN RODRIQUEZ BCBA
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
1103K00000XBehavior Analyst2570TX
2103K00000XBehavior Analyst1-09-6545TX

General Provider Information

NPI Number : 1831417054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY KATHLEEN RODRIQUEZ BCBA
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 3760 S MASON RD STE 10
Second Line :
City : KATY
State : TX
Zip : 77450-7729
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2010
Last Update Date : 04/12/2024

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