Healthcare Provider Details

I. General information

NPI: 1790609212
Provider Name (Legal Business Name): PATRICIA TEIXEIRA RODRIGUES RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 COCONUT CREEK PKWY STE D
COCONUT CREEK FL
33066-1634
US

IV. Provider business mailing address

884 SW 9TH STREET CIR APT 201
BOCA RATON FL
33486-5224
US

V. Phone/Fax

Practice location:
  • Phone: 954-590-0647
  • Fax:
Mailing address:
  • Phone: 954-498-5703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: