MEDICARE: MRS. YESSICA 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285990424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YESSICA RODRIGUEZ

Provider Business Mailing Address
First Line	:	4019 STUDIO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-2313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5420 W SAHARA AVE
Second Line	:	SUITE 103
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0394
Country	:	US
Telephone Number	:	866-604-6812
Fax Number	:

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

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	04/02/2012

Similar Medicare Providers

1457555997 — ANN MARIE COLIN
Practice Location Address:

5420 W SAHARA AVE , SUITE 201
LAS VEGAS, NV
89146-0394

Practice Phone: 702-882-7827
Practice Fax: 702-522-9336

1467617530 — TAMARA JOY IRONS L.C.S.W.
Practice Location Address:

5420 W SAHARA AVE STE 102-6
LAS VEGAS, NV
89146-0394

Practice Phone: 702-907-6043
Practice Fax:

1942595152 — CELESTIAL CROOM
Practice Location Address:

5420 W SAHARA AVE , #201
LAS VEGAS, NV
89146-0394

Practice Phone: 702-882-7827
Practice Fax:

1891075826 — MR. DEREK MONTEL BROWN II
Practice Location Address:

5420 W SAHARA AVE , SUITE 103
LAS VEGAS, NV
89146-0394

Practice Phone: 702-436-4247
Practice Fax:

1649537333 — LIONS CREST LLC
Practice Location Address:

5420 W SAHARA AVE , SUITE 102
LAS VEGAS, NV
89146-0394

Practice Phone: 702-772-8892
Practice Fax:

1861834186 — LIONS CREST L.L.C.
Practice Location Address:

5420 W SAHARA AVE STE 102-2
LAS VEGAS, NV
89146-0394

Practice Phone: 702-485-5050
Practice Fax: 702-485-5207

Directions to “ MRS. YESSICA 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.