MEDICARE: LAILA 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

General Provider Information

NPI Number	:	1518856608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAILA RODRIGUEZ

Provider Business Mailing Address
First Line	:	1250 HILLRISE CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4741
Country	:	US
Telephone Number	:	575-288-1881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1519 BLAKE ST
Second Line	:	SUITE 250
City	:	DENVER
State	:	CO
Zip	:	80202-1289
Country	:	US
Telephone Number	:	575-288-1881
Fax Number	:	575-288-1889

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

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/15/2025

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Directions to “ LAILA RODRIGUEZ ” Practice Location

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