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General NPI Number Information
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NPI Number | 1558867366
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Entity Type | Individual
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Provider Name | KAREN RODRIGUEZ RBT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 410 S MELROSE DR STE 100
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City | VISTA
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State | CA
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Zip | 92081-6607
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Country | US
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Telephone | 866-417-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CORPORATE CENTER DR STE 170
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City | MANALAPAN
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State | NJ
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Zip | 07726-8737
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Country | US
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Telephone | 866-417-8669
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-86136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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