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NPI Code Detail

MEDICARE: JESSICA RODRIGUEZ BA

MEDICARE: JESSICA RODRIGUEZ BA
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 : 1598419277
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RODRIGUEZ BA
Provider Business Mailing Address
First Line : 50 N HILL AVE STE 100
Second Line :
City : PASADENA
State : CA
Zip : 91106-1949
Country : US
Telephone Number : 714-834-1111
Fax Number :
Provider Business Practice Location Address
First Line : 50 N HILL AVE STE 100
Second Line :
City : PASADENA
State : CA
Zip : 91106-1949
Country : US
Telephone Number : 714-834-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2022
Last Update Date : 04/22/2026

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Directions to “ JESSICA RODRIGUEZ BA” Practice Location

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