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NPI 1578398558

NPI 1578398558 : YBERTH RODRIGUEZ : PLANTATION, FL

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General NPI Number Information
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    NPI Number           |    1578398558
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    Entity Type          |    Individual 
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    Provider Name        |    YBERTH RODRIGUEZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2024
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    Last Update Date     |    01/25/2026
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Provider Practice Location Address
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    Address Line         |    261 N UNIVERSITY DR 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33324-2002
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    Country              |    US
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    Telephone            |    954-931-1803
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    Fax                  |    888-329-6434
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Provider Business Mailing Address
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    Address Line         |    1300 NW 51ST AVE 
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    City                 |    LAUDERHILL
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    State                |    FL
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    Zip                  |    33313-5520
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    Country              |    US
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    Telephone            |    646-374-5500
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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-24-361475
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    License Number State |    FL
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