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NPI Code Detail

MEDICARE: ANA ALEJANDRINA RODRIGUEZ BEHAVIOR TECHNICIAN

MEDICARE:   ANA ALEJANDRINA RODRIGUEZ  BEHAVIOR TECHNICIAN
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 Technician21-154660FL

General Provider Information

NPI Number : 1326615048
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA ALEJANDRINA RODRIGUEZ BEHAVIOR TECHNICIAN
Provider Business Mailing Address
First Line : 3745 PIAZZA DR APT 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-8133
Country : US
Telephone Number : 786-627-8767
Fax Number : 305-477-1120
Provider Business Practice Location Address
First Line : 3745 PIAZZA DR APT 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-8133
Country : US
Telephone Number : 786-627-8767
Fax Number : 305-477-1120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 06/20/2024

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Directions to “ ANA ALEJANDRINA RODRIGUEZ BEHAVIOR TECHNICIAN” Practice Location

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