Healthcare Provider Details

I. General information

NPI: 1316884190
Provider Name (Legal Business Name): BRITNEY R RODRIGUEZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 DOTY CIR
WEST SPRINGFIELD MA
01089-1310
US

IV. Provider business mailing address

542 SHERIDAN ST
CHICOPEE MA
01020-2815
US

V. Phone/Fax

Practice location:
  • Phone: 781-424-8809
  • Fax: 781-424-8809
Mailing address:
  • Phone: 781-424-8809
  • Fax: 877-828-5013

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: