Healthcare Provider Details

I. General information

NPI: 1225980816
Provider Name (Legal Business Name): ANA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21801 CACTUS AVE STE A
RIVERSIDE CA
92518-3020
US

IV. Provider business mailing address

442 REPOSO ST
SAN JACINTO CA
92582-2580
US

V. Phone/Fax

Practice location:
  • Phone: 833-526-2333
  • Fax:
Mailing address:
  • Phone: 951-282-9986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: