MEDICARE: ALONDRA RUIZ 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
1	106S00000X	Behavior Technician	RBT-25-502623	FL

General Provider Information

NPI Number	:	1235080615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONDRA RUIZ RODRIGUEZ

Provider Business Mailing Address
First Line	:	2702 5TH ST SW
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33976-2532
Country	:	US
Telephone Number	:	239-565-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1154 LEE BLVD
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4852
Country	:	US
Telephone Number	:	239-491-2603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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