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NPI Code Detail

MEDICARE: CAMILA RODRIGUEZ

MEDICARE: CAMILA 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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1427610146
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILA RODRIGUEZ
Provider Business Mailing Address
First Line : 32 EDWARD ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2946
Country : US
Telephone Number : 508-926-9737
Fax Number :
Provider Business Practice Location Address
First Line : 324 CLARK ST FL 2
Second Line :
City : WORCESTER
State : MA
Zip : 01606-1214
Country : US
Telephone Number : 508-791-4976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2019
Last Update Date : 07/02/2019

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Directions to “ CAMILA RODRIGUEZ ” Practice Location

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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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