Healthcare Provider Details

I. General information

NPI: 1043133937
Provider Name (Legal Business Name): ADRIANA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 VERMONT AVE
TURLOCK CA
95380-5339
US

IV. Provider business mailing address

911 VERMONT AVE
TURLOCK CA
95380-5339
US

V. Phone/Fax

Practice location:
  • Phone: 209-774-0770
  • Fax:
Mailing address:
  • Phone: 510-441-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberY7098934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: