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NPI Code Detail

MEDICARE: ANNA RODRIGUEZ

MEDICARE:   ANNA  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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1578383071
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA RODRIGUEZ
Provider Business Mailing Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 775-468-3553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/10/2024

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Directions to “ ANNA RODRIGUEZ ” Practice Location

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