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NPI Code Detail

MEDICARE: MIA RODRIGUEZ

MEDICARE: MIA RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1033078753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA RODRIGUEZ
Provider Business Mailing Address
First Line : 9755 LINCOLN VILLAGE DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-3334
Country : US
Telephone Number : 916-363-6103
Fax Number : 916-244-0594
Provider Business Practice Location Address
First Line : 9755 LINCOLN VILLAGE DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-3334
Country : US
Telephone Number : 916-363-6103
Fax Number : 916-244-0594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ MIA RODRIGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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