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NPI Code Detail

MEDICARE: ASHLEY A RODRIGUEZ

MEDICARE: ASHLEY A 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
1103K00000XBehavior Analyst
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1194216069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY A RODRIGUEZ
Provider Business Mailing Address
First Line : 2961 E SERENE AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6507
Country : US
Telephone Number : 702-948-4848
Fax Number :
Provider Business Practice Location Address
First Line : 2961 E SERENE AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6507
Country : US
Telephone Number : 702-948-4848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 01/31/2024

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Directions to “ ASHLEY A RODRIGUEZ ” Practice Location

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