Healthcare Provider Details

I. General information

NPI: 1679150809
Provider Name (Legal Business Name): FELICIA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MARINER BLVD
SPRING HILL FL
34609-5691
US

IV. Provider business mailing address

2003 S EASTON RD STE 308
DOYLESTOWN PA
18901-7100
US

V. Phone/Fax

Practice location:
  • Phone: 800-356-4049
  • Fax: 941-485-0519
Mailing address:
  • Phone: 800-356-4049
  • Fax: 941-485-0519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-159867
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: